Provider Demographics
NPI:1619247566
Name:RISING ACUPUNCTURE LLC.
Entity Type:Organization
Organization Name:RISING ACUPUNCTURE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PROL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-532-0777
Mailing Address - Street 1:975 W 41ST ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3329
Mailing Address - Country:US
Mailing Address - Phone:305-532-0777
Mailing Address - Fax:305-532-0888
Practice Address - Street 1:975 W 41ST ST
Practice Address - Street 2:SUITE 211
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3329
Practice Address - Country:US
Practice Address - Phone:305-532-0777
Practice Address - Fax:305-532-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty