MEDICARE: ALTERNATIVE PRACTICE CONCEPTS 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	207QA0505X	Adult Medicine Physician		FL

General Provider Information

NPI Number	:	1811182926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE PRACTICE CONCEPTS LLC

Provider Business Mailing Address
First Line	:	611 SW FEDERAL HWY
Second Line	:	SUITE J
City	:	STUART
State	:	FL
Zip	:	34994-2925
Country	:	US
Telephone Number	:	772-287-2677
Fax Number	:	772-219-4747

Provider Business Practice Location Address
First Line	:	2500 QUINCY AVE
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4766
Country	:	US
Telephone Number	:	772-287-2677
Fax Number	:	772-219-4747

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. BARBARA H GEORGIADES
Credential	:
Telephone Number	:	772-287-2677

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	09/11/2007

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