Provider Demographics
NPI:1184993453
Name:INTEGRATIVE ACUPUNCTURE
Entity type:Organization
Organization Name:INTEGRATIVE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HARMONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:561-819-0530
Mailing Address - Street 1:220 CONGRESS PARK DR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4670
Mailing Address - Country:US
Mailing Address - Phone:561-819-0530
Mailing Address - Fax:561-819-0521
Practice Address - Street 1:220 CONGRESS PARK DR
Practice Address - Street 2:SUITE 230
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4670
Practice Address - Country:US
Practice Address - Phone:561-819-0530
Practice Address - Fax:561-819-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2458171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty