Provider Demographics
NPI:1821547076
Name:JULES ACUPUNCTURE, INC
Entity Type:Organization
Organization Name:JULES ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MIN JEONG
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:305-803-1050
Mailing Address - Street 1:436 NE 77TH STREET RD
Mailing Address - Street 2:UNIT 6
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-5062
Mailing Address - Country:US
Mailing Address - Phone:305-803-1050
Mailing Address - Fax:
Practice Address - Street 1:9999 NE 2ND AVE
Practice Address - Street 2:SUITE 209C
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2352
Practice Address - Country:US
Practice Address - Phone:305-771-2115
Practice Address - Fax:305-777-8963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3769171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty