OrganizationActive
100 Physicians Medicine, LLC
NPI 1407508930 · Acupuncturist · Lady Lake, FL
Provider details
- NPI number
- 1407508930
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Miguel De Puigdorfila, Managing Director(505) 900-1476
Specialties & taxonomies
Other Service Providers
Practice location
13721 N US Highway 441 Ste 2
Lady Lake, FL 32159-8910
Phone: (352) 254-5544
Approximate (ZIP-level) locationGet directions
Mailing address
17495 Se 74th Raes Hall Ave
The Villages, FL 32162-5352
Registry dates
- Enumerated
- 2022-01-26
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.