Healthcare Provider Details

I. General information

NPI: 1770538076
Provider Name (Legal Business Name): LEONOR MURCIANO-CHEN A.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 SW 62ND PL 4TH FLOOR
SOUTH MIAMI FL
33143-4806
US

IV. Provider business mailing address

1040 NW 185TH AVE
PEMBROKE PINES FL
33029-3640
US

V. Phone/Fax

Practice location:
  • Phone: 305-583-0833
  • Fax:
Mailing address:
  • Phone: 954-274-7765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: