MEDICARE: MARIA BARAJAS AP, RN, DOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP 2956	FL

General Provider Information

NPI Number	:	1114224284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA BARAJAS AP, RN, DOM

Provider Business Mailing Address
First Line	:	2314 W PRICE BLVD
Second Line	:	2314 W. PRICE BLVD
City	:	NORTH PORT
State	:	FL
Zip	:	34286-6819
Country	:	US
Telephone Number	:	941-769-2474
Fax Number	:

Provider Business Practice Location Address
First Line	:	2314 W PRICE BLVD
Second Line	:	2314 W. PRICE BLVD
City	:	NORTH PORT
State	:	FL
Zip	:	34286-6819
Country	:	US
Telephone Number	:	941-769-2474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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