Provider Demographics
NPI:1700336914
Name:FURSANKIM GROUP LLC
Entity Type:Organization
Organization Name:FURSANKIM GROUP LLC
Other - Org Name:EAST2WEST ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARANTUYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:651-343-0262
Mailing Address - Street 1:22 REDWOOD TRACK TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-6074
Mailing Address - Country:US
Mailing Address - Phone:651-343-0262
Mailing Address - Fax:
Practice Address - Street 1:13940 N US HIGHWAY 441
Practice Address - Street 2:OAKLAND HILL PROFESSIONAL CENTER, STE 905
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8908
Practice Address - Country:US
Practice Address - Phone:651-343-0262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3710261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care