Provider Demographics
NPI:1932458072
Name:HARAOKA ELZEY, RYOKO (AP)
Entity Type:Individual
Prefix:MS
First Name:RYOKO
Middle Name:
Last Name:HARAOKA ELZEY
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7705 COUNTRY PL
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9316
Mailing Address - Country:US
Mailing Address - Phone:407-733-8580
Mailing Address - Fax:407-542-9525
Practice Address - Street 1:467 LAKE HOWELL RD STE 107
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5922
Practice Address - Country:US
Practice Address - Phone:407-733-8580
Practice Address - Fax:407-542-9525
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist