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NPI Code Detail

MEDICARE: MR. JAIME TINOCO ACUPUNCTURIST

MEDICARE:  MR. JAIME  TINOCO  ACUPUNCTURIST
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
1171100000XAcupuncturistAP00435FL

General Provider Information

NPI Number : 1932377017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAIME TINOCO ACUPUNCTURIST
Provider Business Mailing Address
First Line : 1455 YELLOWHEART WAY
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33019-4859
Country : US
Telephone Number : 954-682-5814
Fax Number : 954-920-8013
Provider Business Practice Location Address
First Line : 500 SE 17TH ST
Second Line : STE # 220
City : FORT LAUDERDALE
State : FL
Zip : 33316-2547
Country : US
Telephone Number : 954-682-5814
Fax Number : 954-922-8050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2008
Last Update Date : 08/26/2010

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Directions to “ MR. JAIME TINOCO ACUPUNCTURIST” Practice Location

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