Healthcare Provider Details

I. General information

NPI: 1720155997
Provider Name (Legal Business Name): ACUPUNCTURE AND PHYSICAL THERAPY SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 S VOLUSIA AVE STE 200
ORANGE CITY FL
32763-9134
US

IV. Provider business mailing address

PO BOX 953925
LAKE MARY FL
32795-3925
US

V. Phone/Fax

Practice location:
  • Phone: 386-774-6333
  • Fax: 386-410-1603
Mailing address:
  • Phone: 386-774-6333
  • Fax: 386-410-1603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2096
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP544
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2900
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2976
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3608
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7299
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT22574
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7339
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT9087
License Number StateFL
# 10
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT29612
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT27376
License Number StateFL
# 12
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT25562
License Number StateFL

VIII. Authorized Official

Name: MS. MENN-LI LIN
Title or Position: CHIEF FINANCIAL MANAGER
Credential: P.T.
Phone: 386-774-6333