Provider Demographics
NPI:1760023840
Name:KHEIRON ACU-THERAPEUTAE LLC
Entity Type:Organization
Organization Name:KHEIRON ACU-THERAPEUTAE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:954-815-9461
Mailing Address - Street 1:6520 WINFIELD BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7135
Mailing Address - Country:US
Mailing Address - Phone:954-815-9461
Mailing Address - Fax:
Practice Address - Street 1:6520 WINFIELD BLVD APT 104
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7135
Practice Address - Country:US
Practice Address - Phone:954-815-9461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care