MEDICARE: MS. CECILIA BOHORQUEZ AP

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 1971	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP 1971	OTHER	FL	DEPARTMENT OF HEALTH. DIVISION OF MEDICAL QUALITY ASSURANCE

General Provider Information

NPI Number	:	1467739839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CECILIA BOHORQUEZ AP

Provider Business Mailing Address
First Line	:	620 N 69TH AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-7420
Country	:	US
Telephone Number	:	954-663-5094
Fax Number	:

Provider Business Practice Location Address
First Line	:	8771 STIRLING RD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-5932
Country	:	US
Telephone Number	:	954-603-1311
Fax Number	:	954-252-5199

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

Provider Enumeration Date	:	11/13/2011
Last Update Date	:	11/13/2011

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