Healthcare Provider Details

I. General information

NPI: 1215132295
Provider Name (Legal Business Name): LAURA M SCOZZARI ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11211 PROSPERITY FARMS RD
PALM BEACH GARDENS FL
33410-3446
US

IV. Provider business mailing address

102 SHERWOOD CIR APT 21C
JUPITER FL
33458-8618
US

V. Phone/Fax

Practice location:
  • Phone: 561-622-4706
  • Fax:
Mailing address:
  • Phone: 561-339-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number585
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: