Provider Demographics
NPI:1346940137
Name:DRAGON PHOENIX ACUPUNCTURE INC
Entity Type:Organization
Organization Name:DRAGON PHOENIX ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIU
Authorized Official - Middle Name:F
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:407-932-4818
Mailing Address - Street 1:2579 OAK ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4946
Mailing Address - Country:US
Mailing Address - Phone:407-932-4818
Mailing Address - Fax:407-932-2888
Practice Address - Street 1:2579 OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4946
Practice Address - Country:US
Practice Address - Phone:407-932-4818
Practice Address - Fax:407-932-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty