Provider Demographics
NPI:1679825418
Name:ACUPUNCTURE AAA & I, LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE AAA & I, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:DELORECE
Authorized Official - Middle Name:LARIE
Authorized Official - Last Name:GIRARD
Authorized Official - Suffix:
Authorized Official - Credentials:DOM, AP
Authorized Official - Phone:941-284-5612
Mailing Address - Street 1:784 US 1
Mailing Address - Street 2:#3
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4415
Mailing Address - Country:US
Mailing Address - Phone:941-284-5612
Mailing Address - Fax:561-625-3040
Practice Address - Street 1:784 US 1
Practice Address - Street 2:#3
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4415
Practice Address - Country:US
Practice Address - Phone:941-284-5612
Practice Address - Fax:561-625-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL#3096171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty