Provider Demographics
NPI:1043867583
Name:WEST COAST ACUPUNCTURE & INTEGRATIVE WELLNESS
Entity Type:Organization
Organization Name:WEST COAST ACUPUNCTURE & INTEGRATIVE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:941-417-3848
Mailing Address - Street 1:PO BOX 2034
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34220-2034
Mailing Address - Country:US
Mailing Address - Phone:941-417-3848
Mailing Address - Fax:
Practice Address - Street 1:1301 10TH ST E STE D
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4161
Practice Address - Country:US
Practice Address - Phone:941-417-3848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center