Healthcare Provider Details

I. General information

NPI: 1528335296
Provider Name (Legal Business Name): FRANTZ DUCLERVIL LISENCED ACUPUNCTURE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2011
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 HOLLYWOOD BLVD
HOLLYWOOD FL
33020-4821
US

IV. Provider business mailing address

3593 WILES RD APT 205
COCONUT CREEK FL
33073-2201
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-0027
  • Fax: 954-766-4085
Mailing address:
  • Phone: 305-456-0027
  • Fax: 954-766-4085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: