Provider Demographics
NPI:1003426644
Name:JUPITER ACUPUNCTURE
Entity Type:Organization
Organization Name:JUPITER ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:VERNON
Authorized Official - Last Name:ZARLING
Authorized Official - Suffix:SR
Authorized Official - Credentials:AP, DIPLOM
Authorized Official - Phone:561-730-2585
Mailing Address - Street 1:278 SEABREEZE CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-6438
Mailing Address - Country:US
Mailing Address - Phone:719-243-8261
Mailing Address - Fax:
Practice Address - Street 1:725 N HIGHWAY A1A STE E108
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-9514
Practice Address - Country:US
Practice Address - Phone:561-730-2585
Practice Address - Fax:561-264-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP4143OtherACUPUNCTURE LICENSE