Healthcare Provider Details

I. General information

NPI: 1174790695
Provider Name (Legal Business Name): ACUTONIX HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15901 N FLORIDA AVE
LUTZ FL
33549-8109
US

IV. Provider business mailing address

15901 N FLORIDA AVE
LUTZ FL
33549-8109
US

V. Phone/Fax

Practice location:
  • Phone: 813-258-1545
  • Fax: 813-258-1547
Mailing address:
  • Phone: 813-258-1545
  • Fax: 813-258-1547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6001
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1414
License Number StateFL

VIII. Authorized Official

Name: STEVEN HOWARD FRIEDMAN
Title or Position: OWNER
Credential:
Phone: 813-258-1545