Healthcare Provider Details

I. General information

NPI: 1730324484
Provider Name (Legal Business Name): ACUMED & THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2008
Last Update Date: 12/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17511 DALE MABRY HWY N
LUTZ FL
33548-4521
US

IV. Provider business mailing address

17511 DALE MABRY HWY N
LUTZ FL
33548-4521
US

V. Phone/Fax

Practice location:
  • Phone: 813-454-4044
  • Fax:
Mailing address:
  • Phone: 813-454-4044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 1901
License Number StateFL

VIII. Authorized Official

Name: ROBIN A MYERS
Title or Position: PRESIDENT
Credential: AP
Phone: 813-335-0123