Beauty and Wellness Med Spa

NPI #1376024851 in Sweetwater, Florida

Provider Information

NPI Number: 1376024851
Entity Type: Organization
Organization Name: Beauty and Wellness Med Spa
Subpart: Yes (part of a larger organization)
Parent Organization: FD INTEGRATIVE CLINIC
Primary Specialty: Acupuncturist
Enumeration Date: Aug 23, 2018
Last Updated: Aug 23, 2018

Practice Location

Address: 1470 NW 107TH AVE STE A
City: Sweetwater
State: Florida
ZIP Code: 33172-2734
Phone: (786) 547-2091

Authorized Official

Name: FREDDY DUQUE, ACUPUNCTURE PHYSICIA
Title: ACUPUNCTURIST
Phone: (786) 547-2091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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