Active NPI
Eden Integrative Medicine
- Acupuncturist
- Coral Springs, FL
National Provider Identifier
1891468054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- EDEN INTEGRATIVE MEDICINE
- Practice address
- 7401 Wiles Rd # 227
Coral Springs, FL 33067-2036 - Phone
- (954) 906-2379
- NPI assigned
- Jul 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahla Montalvo, L.AC.
- Title
- Owner
- Phone
- (954) 906-2379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
7401 Wiles Rd # 227
Coral Springs, FL 33067-2036
Mailing address
4613 N University Dr Unit 399
Coral Springs, FL 33067-4602
Phone (646) 334-8818
National Provider Directory
National Provider DirectoryLocations
7401 Wiles Rd
#227
Coral Springs, FL 33067
Phone (954) 906-2379
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Coral Springs, FL
- NPI 1467699231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1891468054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 N UNIVERSITY DR UNIT 399",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674602",
"telephone_number": "646-334-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 WILES RD # 227",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330672036",
"telephone_number": "954-906-2379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A",
"authorized_official_last_name": "MONTALVO",
"authorized_official_first_name": "MAHLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-906-2379",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.