Provider Demographics
NPI:1992181507
Name:CAMY'S ACUPUNCTURE & HERBS CLINIC
Entity Type:Organization
Organization Name:CAMY'S ACUPUNCTURE & HERBS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:ANCA-CAMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRUNEAN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:239-298-6966
Mailing Address - Street 1:7900 CAMINO CIR
Mailing Address - Street 2:202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6743
Mailing Address - Country:US
Mailing Address - Phone:239-298-6966
Mailing Address - Fax:
Practice Address - Street 1:1250 9TH ST N
Practice Address - Street 2:301
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5248
Practice Address - Country:US
Practice Address - Phone:239-298-6966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3544171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty