OCEAN AVENUE ACUPUNCTURE
Managed Care Organizations at Indiantown Rd, Jupiter, FL

License number
Florida AP3064
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: KEVIN J YU LAC
Title: ACUPUNCTURIST
Phone: (561) 866-8814
Address
Address 2
901 W Indiantown Rd, Jupiter, FL 33458
2765 S Evergreen Cir, Boynton Beach, FL 33426
National Provider ID: 1093252801
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OCEAN AVENUE ACUPUNCTURE at bizstanding.com

OCEAN AVENUE ACUPUNCTURE, INC

Jupiter, FL  -  Boynton Beach, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Aug 13, 2012
Inactive since:
Jul 31, 2014
Addresses:
901 W Indiantown Rd SUITE 20, Jupiter, FL 33458 (Physical)
2765 S Evergreen Cir, Boynton Beach, FL 33426 (Mailing)
State ID:
P12000069797
Business type:
Florida Profit Corporation
Kevin Yu, 2765 S Evergreen Cir, Boynton Beach, FL 33426 (Physical)
Agent:
Yu, Kevin,2765 S Evergreen Cir, Boynton Beach, FL 33426 (Physical)
FEI/EIN:
N/A

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