Jade Lotus Acupuncture and Oriental Medicine

NPI #1457964280 in Miramar Beach, Florida

Provider Information

NPI Number: 1457964280
Entity Type: Organization
Organization Name: Jade Lotus Acupuncture and Oriental Medicine
Primary Specialty: Acupuncturist
Enumeration Date: Aug 31, 2020
Last Updated: Aug 31, 2020

Practice Location

Address: 12273 US HIGHWAY 98 W STE 120
City: Miramar Beach
State: Florida
ZIP Code: 32550-6945
Phone: (850) 368-1685

Authorized Official

Name: JARED PATRICK GLENN, AP, LMT
Title: ACUPUNCTURE PHYSICIAN
Phone: (850) 368-7872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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