Provider Demographics
NPI:1548400062
Name:GUQQI ACUPUNCTURE & WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:GUQQI ACUPUNCTURE & WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:813-659-2502
Mailing Address - Street 1:2200 SEVEN SPRINGS BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-3911
Mailing Address - Country:US
Mailing Address - Phone:727-376-8777
Mailing Address - Fax:
Practice Address - Street 1:2200 SEVEN SPRINGS BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-3911
Practice Address - Country:US
Practice Address - Phone:727-376-8777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2538171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty