ACUSPA, PA
Managed Care Organizations at Conway Rd, Orlando, FL

License number
Florida AP2518
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. TAMMY LEE DIPPENWORTH LIC. ACUPUNCTURISTS
Title: PRESIDENT
Phone: (321) 303-5946
Address
Address
3722 S Conway Rd, Orlando, FL 32812
National Provider ID: 1306015672
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Acuspa, PA

Orlando, FL

Industry:
Health Practitioner's Office, Nonclassifiable Establishments
Registration:
Dec 19, 2007
Addresses:
4410 Meadowood St, Orlando, FL 32812
3722 S Conway Rd, Orlando, FL 32812
State ID:
P07000133614
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Director, Vice President:
Tammy Dippenworth (President, Treasurer, Secretary, Director, Vice President)

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