Provider Demographics
NPI: | 1932512449 |
---|---|
Name: | WU'S ACUPUNCTURE AND NATURAL HEALING CENTER INC |
Entity Type: | Organization |
Organization Name: | WU'S ACUPUNCTURE AND NATURAL HEALING CENTER INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SHU-LIN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | AP |
Authorized Official - Phone: | 305-877-7685 |
Mailing Address - Street 1: | 3000 NE 30TH PL STE 211 |
Mailing Address - Street 2: | |
Mailing Address - City: | FORT LAUDERDALE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33306-1957 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-877-7685 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3000 NE 30TH PL STE 211 |
Practice Address - Street 2: | |
Practice Address - City: | FORT LAUDERDALE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33306-1957 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-877-7685 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-06-03 |
Last Update Date: | 2014-06-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | AP 2641 | 251K00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251K00000X | Agencies | Public Health or Welfare |