Provider Demographics
NPI:1912477951
Name:ACUPUNCTURE WELLNESS THERAPY INC
Entity Type:Organization
Organization Name:ACUPUNCTURE WELLNESS THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GISELE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LEON-RITCH
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:786-462-4325
Mailing Address - Street 1:2141 NW 185TH WAY
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3866
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 GRAND PALMS DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1329
Practice Address - Country:US
Practice Address - Phone:786-462-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service