Provider Demographics
NPI:1508000258
Name:CARING ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:CARING ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:KALMA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:321-298-6182
Mailing Address - Street 1:490 WOODED CROSSING CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-6546
Mailing Address - Country:US
Mailing Address - Phone:321-298-6182
Mailing Address - Fax:
Practice Address - Street 1:490 WOODED CROSSING CIR
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-6546
Practice Address - Country:US
Practice Address - Phone:321-298-6182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2652171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty