Provider Demographics
NPI:1679071112
Name:CHAI FAMILY ACUPUNCTURE
Entity type:Organization
Organization Name:CHAI FAMILY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:LIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-575-2688
Mailing Address - Street 1:4575 SAINT BRIDES CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-5929
Mailing Address - Country:US
Mailing Address - Phone:407-575-2688
Mailing Address - Fax:
Practice Address - Street 1:3722 CONWAY RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-7608
Practice Address - Country:US
Practice Address - Phone:407-575-2688
Practice Address - Fax:407-575-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL932171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty