Provider Demographics
NPI:1851714299
Name:HF ACUPUNCTURE AND CHINESE MEDICINE CENTER LLC
Entity Type:Organization
Organization Name:HF ACUPUNCTURE AND CHINESE MEDICINE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AP/CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAIFA
Authorized Official - Middle Name:
Authorized Official - Last Name:QIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-524-3908
Mailing Address - Street 1:1282 TIMBERLANE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312
Mailing Address - Country:US
Mailing Address - Phone:850-524-3908
Mailing Address - Fax:850-877-0108
Practice Address - Street 1:1282 TIMBERLANE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312
Practice Address - Country:US
Practice Address - Phone:850-524-3908
Practice Address - Fax:850-877-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2912171100000X
FLAP 2725171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty