Healthcare Provider Details

I. General information

NPI: 1467974675
Provider Name (Legal Business Name): SARA QUESADA L. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N FEDERAL HWY STE 110
BOCA RATON FL
33432-2753
US

IV. Provider business mailing address

102 VIA DE CASAS NORTE
BOYNTON BEACH FL
33426-8816
US

V. Phone/Fax

Practice location:
  • Phone: 954-873-0363
  • Fax:
Mailing address:
  • Phone: 561-939-9273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number3821
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: