Healthcare Provider Details

I. General information

NPI: 1093251720
Provider Name (Legal Business Name): THERESA BARCUS L.AP, DOM, MOA, CAIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERRI BARCUS L.AP, DOM, MOA, CAIT

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3190 SUNTREE BLVD STE 101
ROCKLEDGE FL
32955-5741
US

IV. Provider business mailing address

3912 LA FLOR DR
ROCKLEDGE FL
32955-5333
US

V. Phone/Fax

Practice location:
  • Phone: 941-879-7388
  • Fax:
Mailing address:
  • Phone: 941-879-7388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3476
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberAP3476
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberAP3476
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: