Provider Demographics
NPI:1033345350
Name:ACADEMY FOR FIVE ELEMENT ACUPUNCTURE
Entity Type:Organization
Organization Name:ACADEMY FOR FIVE ELEMENT ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTI
Authorized Official - Middle Name:G
Authorized Official - Last Name:OXFORD-PICKERAL
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:352-335-2332
Mailing Address - Street 1:305 SE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-6811
Mailing Address - Country:US
Mailing Address - Phone:352-335-2332
Mailing Address - Fax:352-337-2535
Practice Address - Street 1:305 SE 2ND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6811
Practice Address - Country:US
Practice Address - Phone:352-335-2332
Practice Address - Fax:352-337-2535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 676171100000X
FLAP 861171100000X
FLAP 2418171100000X
FLAP 1668171100000X
FLAP 2499171100000X
FLAP 2500171100000X
FLAP 2619171100000X
FLAP 310171100000X
FLAP1371171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty