Provider Demographics
NPI:1982083671
Name:ART OF ACUPUNCTURE
Entity Type:Organization
Organization Name:ART OF ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BICKLEY DIDYK
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:727-321-6969
Mailing Address - Street 1:2941 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-6703
Mailing Address - Country:US
Mailing Address - Phone:727-321-6969
Mailing Address - Fax:
Practice Address - Street 1:2941 5TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-6703
Practice Address - Country:US
Practice Address - Phone:727-321-6969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3635171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty