Provider Demographics
NPI:1346830130
Name:NEEDLE ZEN ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:NEEDLE ZEN ACUPUNCTURE LLC
Other - Org Name:NEEDLE ZEN ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESCABI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:954-380-2003
Mailing Address - Street 1:609 NE 13TH AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2837
Mailing Address - Country:US
Mailing Address - Phone:954-380-2003
Mailing Address - Fax:
Practice Address - Street 1:1975 E SUNRISE BLVD STE 801
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1407
Practice Address - Country:US
Practice Address - Phone:954-380-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty