Provider Demographics
NPI:1417375668
Name:DR D ORGANICS
Entity Type:Organization
Organization Name:DR D ORGANICS
Other - Org Name:DR D ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST, HERBALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:561-467-0288
Mailing Address - Street 1:2151 S ALT A1A STE 1400
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-3901
Mailing Address - Country:US
Mailing Address - Phone:561-467-0288
Mailing Address - Fax:
Practice Address - Street 1:2151 S ALT A1A STE 1400
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-3901
Practice Address - Country:US
Practice Address - Phone:561-467-0288
Practice Address - Fax:800-455-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3384171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty