MEDICARE: LEAFLINE ACUPUNCTURE & HERBS

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	AP3681	FL

General Provider Information

NPI Number	:	1700313194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAFLINE ACUPUNCTURE & HERBS

Provider Business Mailing Address
First Line	:	15109 ASHLAND DR APT I329
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-4434
Country	:	US
Telephone Number	:	914-393-0105
Fax Number	:

Provider Business Practice Location Address
First Line	:	6971 N FEDERAL HWY STE 205
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1648
Country	:	US
Telephone Number	:	914-393-0105
Fax Number	:	914-393-0105

Authorized Official
Title or Position	:	FOUNDER & ACUPUNCTURIST
Name	:	DONNA HARPAZ
Credential	:	LAC
Telephone Number	:	914-393-0105

Provider Enumeration Date	:	05/16/2017
Last Update Date	:	05/16/2017

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