MEDICARE: ACU-HEALTHCARE, LLC

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	AP953	FL

General Provider Information

NPI Number	:	1720225535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACU-HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	3325 GRIFFIN RD STE E176
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-5500
Country	:	US
Telephone Number	:	954-394-9098
Fax Number	:

Provider Business Practice Location Address
First Line	:	3325 GRIFFIN RD STE E176
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-5500
Country	:	US
Telephone Number	:	954-394-9098
Fax Number	:

Authorized Official
Title or Position	:	MANAGER-MEMBER
Name	:	DR. MATTHEW ALAN TRACEY
Credential	:	O.M.D., A.P.
Telephone Number	:	954-394-9098

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	07/30/2010

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