Provider Demographics
NPI:1033440854
Name:GALVAN ACUPUNCTURE AND HERBAL MEDICINE LLC
Entity Type:Organization
Organization Name:GALVAN ACUPUNCTURE AND HERBAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALVAN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:352-327-3561
Mailing Address - Street 1:5201 SW 91ST DR STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-3019
Mailing Address - Country:US
Mailing Address - Phone:352-327-3561
Mailing Address - Fax:
Practice Address - Street 1:5201 SW 91ST DR STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-3019
Practice Address - Country:US
Practice Address - Phone:352-327-3561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty