Provider Demographics
NPI:1336373596
Name:ACUMEDSPA GROUP, LLC
Entity Type:Organization
Organization Name:ACUMEDSPA GROUP, LLC
Other - Org Name:ACUMEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-405-0456
Mailing Address - Street 1:19495 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2318
Mailing Address - Country:US
Mailing Address - Phone:305-405-0456
Mailing Address - Fax:305-405-0509
Practice Address - Street 1:19495 BISCAYNE BLVD
Practice Address - Street 2:SUITE 410
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2318
Practice Address - Country:US
Practice Address - Phone:305-405-0456
Practice Address - Fax:305-405-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty