Organization

Mulberry Oriental Medicine Inc

Specialist in Lady Lake, FL(View on Map)

Legal Business Name

Mulberry Oriental Medicine Inc

NPI Number

1407029820

NPI Type

Organization

Enumeration Date

04/07/2008

Specialties

(Taxonomies)

Code

174400000X
171100000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

AP2152

Contact
Information

Purpose

Mailing
Location

Address

910 OLD CAMP RD
910 OLD CAMP RD

City

Lady Lake
Lady Lake

State

FL
FL

Postal Code

32162-5604
32162-5604

Country

US
US

Telephone Number

(352) 430-2720
(352) 430-2720

Authorized Official

Name

Christopher Cheshire

Title or Position

CLINIC DIRECTOR

Telephone Number

(352) 430-2720

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

Data last updated by provider on 06/24/2009

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