Dancing Phoenix PLLC

Acupuncturist · Jacksonville Beach, FL

Organization Active NPI

NPI number 1942643978

Practice location

2850 Isabella Blvd Ste 50
Jacksonville Beach, FL 32250-8004
Phone
(904) 651-0940

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NPI record

NPI
1942643978
Entity type
Organization (Type 2)
Enumeration date
April 9, 2013
Last updated
April 9, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acupuncturist Primary 171100000X AP3056 FL

Mailing address

3373 Pintail Dr N
Jacksonville Beach, FL 32250-3041
Phone
(904) 651-0940

Authorized official

Name
Sarah P Wilde, AP
Title
Acupuncturist/Owner
Phone
(904) 651-0940

About Dancing Phoenix PLLC

Dancing Phoenix PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Acupuncturist (code 171100000X). The practice location is 2850 Isabella Blvd Ste 50, Jacksonville Beach, FL 32250-8004. The NPI number 1942643978 was assigned on April 9, 2013 and the record was last updated on April 9, 2013.

Dancing Phoenix PLLC lists a license in the registry: #AP3056 (FL) for Acupuncturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Sarah P Wilde, AP, Acupuncturist/Owner.

Frequently asked questions

What is the NPI number of Dancing Phoenix PLLC?

The NPI number is 1942643978.

What is the phone number of Dancing Phoenix PLLC?

The phone number listed for the practice location is (904) 651-0940.

Where is Dancing Phoenix PLLC located?

2850 Isabella Blvd Ste 50, Jacksonville Beach, FL 32250-8004.

What is the taxonomy code for Dancing Phoenix PLLC?

The primary taxonomy code is 171100000X – Acupuncturist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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