Provider Demographics
NPI:1235730227
Name:ABSOLUTE HEALTH ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE1
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:972-979-6034
Mailing Address - Street 1:9423 MYRTLE CREEK LN APT 508
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5978
Mailing Address - Country:US
Mailing Address - Phone:972-979-6034
Mailing Address - Fax:
Practice Address - Street 1:6917 NARCOOSSEE RD STE 734
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-7002
Practice Address - Country:US
Practice Address - Phone:407-801-5510
Practice Address - Fax:407-482-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty