Provider Demographics
NPI:1932604980
Name:ACUMD INC
Entity Type:Organization
Organization Name:ACUMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,MPH,AP
Authorized Official - Phone:786-271-5213
Mailing Address - Street 1:6611 SW 78TH TER
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4663
Mailing Address - Country:US
Mailing Address - Phone:786-271-5214
Mailing Address - Fax:
Practice Address - Street 1:9240 SW 72ND ST STE 229
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3264
Practice Address - Country:US
Practice Address - Phone:305-270-3236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3808171100000X
FLAP3895171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty