Provider Demographics
NPI:1023087947
Name:ORIENTAL MEDICINE ASSOCIATES, INC
Entity type:Organization
Organization Name:ORIENTAL MEDICINE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR ORIENTAL MEDI
Authorized Official - Phone:305-247-8178
Mailing Address - Street 1:100 NE 15TH ST
Mailing Address - Street 2:SUITE 103-B
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4581
Mailing Address - Country:US
Mailing Address - Phone:305-247-8178
Mailing Address - Fax:305-248-9275
Practice Address - Street 1:100 NE 15TH ST
Practice Address - Street 2:SUITE 103-B
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4581
Practice Address - Country:US
Practice Address - Phone:305-247-8178
Practice Address - Fax:305-248-9275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL# 700171100000X
ID248175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Not Answered175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty