Provider Demographics
NPI:1558073445
Name:SHEN HEALTH ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:SHEN HEALTH ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:305-609-8989
Mailing Address - Street 1:67 N BAY HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2016
Mailing Address - Country:US
Mailing Address - Phone:305-609-8989
Mailing Address - Fax:
Practice Address - Street 1:175 WRENN ST
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2335
Practice Address - Country:US
Practice Address - Phone:305-609-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty