Provider Demographics
NPI:1740556257
Name:LITTLE ACUPUNCTURE
Entity Type:Organization
Organization Name:LITTLE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, AP, DOM
Authorized Official - Phone:305-582-6343
Mailing Address - Street 1:2731 EXECUTIVE PARK DR STE 7
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3658
Mailing Address - Country:US
Mailing Address - Phone:954-349-6551
Mailing Address - Fax:954-349-6949
Practice Address - Street 1:2731 EXECUTIVE PARK DR STE 7
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3658
Practice Address - Country:US
Practice Address - Phone:954-349-6551
Practice Address - Fax:954-349-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2939171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty