Provider Demographics
NPI:1649228214
Name:UNIVERSITY ACUPUNCTURE & SKIN CARE CENTER, INC
Entity Type:Organization
Organization Name:UNIVERSITY ACUPUNCTURE & SKIN CARE CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUAN
Authorized Official - Middle Name:JIN
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC; OMD; PHD
Authorized Official - Phone:941-358-9080
Mailing Address - Street 1:2848 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2410
Mailing Address - Country:US
Mailing Address - Phone:941-358-9080
Mailing Address - Fax:
Practice Address - Street 1:2848 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2410
Practice Address - Country:US
Practice Address - Phone:941-358-9080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty