Provider Demographics
NPI:1013030493
Name:HEALTH WISDOM INC
Entity Type:Organization
Organization Name:HEALTH WISDOM INC
Other - Org Name:KAM LEE ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:904-215-6111
Mailing Address - Street 1:1835 EASTWEST PKWY
Mailing Address - Street 2:STE 5
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-6336
Mailing Address - Country:US
Mailing Address - Phone:904-215-6111
Mailing Address - Fax:
Practice Address - Street 1:1835 EASTWEST PKWY
Practice Address - Street 2:STE 5
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-6336
Practice Address - Country:US
Practice Address - Phone:904-215-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP578171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty