Organization

100 Physicians Medicine, Llc

Acupuncturist in Lady Lake, FL(View on Map)

Legal Business Name

100 Physicians Medicine, Llc

NPI Number

1407508930

NPI Type

Organization

Enumeration Date

01/26/2022

Specialties

(Taxonomies)

Code

171100000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

17495 SE 74TH RAES HALL AVE
13721 N US HIGHWAY 441 STE 2

City

The Villages
Lady Lake

State

FL
FL

Postal Code

32162-5352
32159-8910

Country

US
US

Telephone Number

(505) 900-1476
(352) 254-5544

Authorized Official

Name

Dr. Miguel De Puigdorfila

Title or Position

MANAGING DIRECTOR

Telephone Number

(505) 900-1476

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/26/2022

Provider Address

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