Organization Active NPI

Eden Integrative Medicine

  • Acupuncturist
  • Coral Springs, FL
National Provider Identifier
1891468054
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
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

Updated by the provider on Jul 30, 2021

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.