Provider Demographics
NPI:1447522610
Name:RELIEF ACUPUNCTURE, P.A.
Entity type:Organization
Organization Name:RELIEF ACUPUNCTURE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBINSON
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVIRIA
Authorized Official - Suffix:
Authorized Official - Credentials:AP, DOM
Authorized Official - Phone:305-807-0885
Mailing Address - Street 1:9150 FONTAINEBLEAU BLVD
Mailing Address - Street 2:109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4380
Mailing Address - Country:US
Mailing Address - Phone:305-807-0885
Mailing Address - Fax:
Practice Address - Street 1:12184 SW 128TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5230
Practice Address - Country:US
Practice Address - Phone:305-807-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3033171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty