Provider Demographics
NPI:1417272386
Name:HAGIWARA, MEI (AP, LAC, DOM)
Entity Type:Individual
Prefix:MS
First Name:MEI
Middle Name:
Last Name:HAGIWARA
Suffix:
Gender:F
Credentials:AP, LAC, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7232 W SAND LAKE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5260
Mailing Address - Country:US
Mailing Address - Phone:407-729-8808
Mailing Address - Fax:407-363-6707
Practice Address - Street 1:7232 W SAND LAKE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5260
Practice Address - Country:US
Practice Address - Phone:407-729-8808
Practice Address - Fax:407-363-6707
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2728171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist