Provider Demographics
NPI:1871819821
Name:ACUPUNCTURE AND HERB SOLUTIONS
Entity Type:Organization
Organization Name:ACUPUNCTURE AND HERB SOLUTIONS
Other - Org Name:SOUTH FLORIDA INJURY CENTERACUPUNCTURE
Other - Org Type:Other Name
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:561-843-1644
Mailing Address - Street 1:10737 S PRESERVE WAY
Mailing Address - Street 2:208
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6557
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 N HIATUS RD STE 105
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5213
Practice Address - Country:US
Practice Address - Phone:561-843-1644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2754261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center