Healthcare Provider Details

I. General information

NPI: 1851686604
Provider Name (Legal Business Name): ACUCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 06/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 RED RD SUITE 201
SOUTH MIAMI FL
33143-5528
US

IV. Provider business mailing address

10600 SW 77TH TER
MIAMI FL
33173-2907
US

V. Phone/Fax

Practice location:
  • Phone: 305-495-6026
  • Fax: 305-661-1613
Mailing address:
  • Phone: 305-495-6026
  • Fax: 305-661-1613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 1415
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA43419
License Number StateFL

VIII. Authorized Official

Name: MS. RENEE PAULETTE SKUBAN
Title or Position: PRESIDENT
Credential: AP, LMT
Phone: 305-495-6026