Provider Demographics
NPI:1366833568
Name:ACUPUNCTURE AND ALTERNATIVE MEDICINE CLINIC
Entity Type:Organization
Organization Name:ACUPUNCTURE AND ALTERNATIVE MEDICINE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:YOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:FELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-775-7312
Mailing Address - Street 1:925 SW 153RD PATH
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2727
Mailing Address - Country:US
Mailing Address - Phone:305-775-7312
Mailing Address - Fax:
Practice Address - Street 1:13310 SW 128TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5899
Practice Address - Country:US
Practice Address - Phone:305-775-7312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3125305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization