Provider Demographics
NPI:1235784935
Name:SANTANA ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:SANTANA ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-366-2833
Mailing Address - Street 1:2300 W SAMPLE RD STE 213
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3048
Mailing Address - Country:US
Mailing Address - Phone:954-366-2833
Mailing Address - Fax:
Practice Address - Street 1:2300 W SAMPLE RD STE 213
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073-3048
Practice Address - Country:US
Practice Address - Phone:954-366-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty