MULBERRY ORIENTAL MEDICINE INC
Acupuncture at Old Camp Rd, Lady Lake, FL

License number
Florida AP2152
Category
Acupuncture
Type
Acupuncturist
Owner
Name: CHRISTOPHER CHESHIRE L.AC,
Title: CLINIC DIRECTOR
Phone: (352) 430-2720
Address
Address
910 Old Camp Rd #164, Lady Lake, FL 32162
National Provider ID: 1407029820
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MULBERRY ORIENTAL MEDICINE, INC

Lady Lake, FL

Registration:
Aug 12, 2005
Addresses:
910 Old Cp Rd #164, The Villages, FL 32162 (Physical)
8491 SE 165 Mulberry Ln, Lady Lake, FL 32162
State ID:
P05000112602
Business type:
Florida Profit Corporation
Directors:
Meredith Murdock (President, Secretary), 910 Old Cp Rd #164, The Villages, FL 32162 (Physical),Christine Cullen Director, inactive
Agent:
Spiegel Utrera,1840 SW 22 St, Miami, FL 33145 (Physical)
EIN:
25-1923674

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