Provider Demographics
NPI:1437221330
Name:ACUPUNCTURE HEALING CENTER
Entity Type:Organization
Organization Name:ACUPUNCTURE HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DUMAS
Authorized Official - Suffix:
Authorized Official - Credentials:AP, DOM
Authorized Official - Phone:941-256-9500
Mailing Address - Street 1:1219 EAST AVENUE SOUTH
Mailing Address - Street 2:SUITE #104
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-256-9500
Mailing Address - Fax:941-951-1126
Practice Address - Street 1:1219 EAST AVENUE SOUTH
Practice Address - Street 2:SUITE #104
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-256-9500
Practice Address - Fax:941-951-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1823171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty