Provider Demographics
NPI:1578804365
Name:SACHI, JOANNA (DOM, AP)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:SACHI
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 PINE TREE DR
Mailing Address - Street 2:# 17
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3163
Mailing Address - Country:US
Mailing Address - Phone:305-674-7333
Mailing Address - Fax:
Practice Address - Street 1:407 LINCOLN RD
Practice Address - Street 2:11 F
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3020
Practice Address - Country:US
Practice Address - Phone:305-674-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00256171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist