MEDICARE: OSCEOLA ACUPUNCTURE & NATURAL HEALTH

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	AP3470	FL

General Provider Information

NPI Number	:	1437546645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSCEOLA ACUPUNCTURE & NATURAL HEALTH

Provider Business Mailing Address
First Line	:	1945 HAM BROWN RD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-4054
Country	:	US
Telephone Number	:	407-948-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1957 S JOHN YOUNG PKWY
Second Line	:	SUITE #L, M
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-6366
Country	:	US
Telephone Number	:	407-433-3922
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURE PHYSICIAN
Name	:	MR. JOHN J GORSUCH
Credential	:	AP
Telephone Number	:	407-433-3922

Provider Enumeration Date	:	04/25/2015
Last Update Date	:	04/25/2015

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