=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669794681
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH POINT PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2010
-----------------------------------------------------
Last Update Date | 02/17/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 394-B NORTH CAUSEWAY
-----------------------------------------------------
City | NEW SMYRNA BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32169
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-426-2232
-----------------------------------------------------
Fax | 386-426-7866
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 394-B NORTH CAUSEWAY
-----------------------------------------------------
City | NEW SMYRNA BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32169
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-426-2232
-----------------------------------------------------
Fax | 386-426-7866
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KATE CANFIELD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 386-426-2322
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AP2228
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------