Provider Demographics
NPI:1760143358
Name:ACUPUNCTUREOLOGY, LLC
Entity Type:Organization
Organization Name:ACUPUNCTUREOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:305-725-1152
Mailing Address - Street 1:19212 NE 25TH AVE APT 282
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3218
Mailing Address - Country:US
Mailing Address - Phone:305-725-1152
Mailing Address - Fax:
Practice Address - Street 1:19790 W DIXIE HWY STE 1208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-2548
Practice Address - Country:US
Practice Address - Phone:305-725-1152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty