MEDICARE: DCB ACUPUNCTURE HEALTH AND WELLNESS CENTER

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 2455	FL

General Provider Information

NPI Number	:	1538316542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DCB ACUPUNCTURE HEALTH AND WELLNESS CENTER

Provider Business Mailing Address
First Line	:	601 SW 57TH AVE STE I
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3969
Country	:	US
Telephone Number	:	305-484-8015
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 SW 57TH AVE STE I
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3969
Country	:	US
Telephone Number	:	305-484-8015
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CONSTANZA SALGADO
Credential	:	A.P.
Telephone Number	:	305-484-8015

Provider Enumeration Date	:	08/20/2008
Last Update Date	:	08/20/2008

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