Healthcare Provider Details

I. General information

NPI: 1447591615
Provider Name (Legal Business Name): CARLOS SESSLER AP, L.AC., LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 08/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 NW 28TH LN 4
GAINESVILLE FL
32606-7432
US

IV. Provider business mailing address

4131 NW 28TH LN 4
GAINESVILLE FL
32606-7432
US

V. Phone/Fax

Practice location:
  • Phone: 305-586-2998
  • Fax:
Mailing address:
  • Phone: 305-586-2998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number3250
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA 51374
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: