Provider Demographics
NPI:1497199277
Name:ATLANTIC INSTITUTE OF ORIENTAL MEDICINE
Entity Type:Organization
Organization Name:ATLANTIC INSTITUTE OF ORIENTAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:CHU
Authorized Official - Last Name:YEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-763-9844
Mailing Address - Street 1:100 E BROWARD BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3510
Mailing Address - Country:US
Mailing Address - Phone:954-763-9840
Mailing Address - Fax:954-763-9844
Practice Address - Street 1:100 E BROWARD BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3510
Practice Address - Country:US
Practice Address - Phone:954-763-9840
Practice Address - Fax:954-763-9844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty