=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962774448
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANNIE STURMAN, A.P., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2012
-----------------------------------------------------
Last Update Date | 01/31/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3854 SHERIDAN ST SUITE A
-----------------------------------------------------
City | HOLLYWOOD
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33021-3630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-326-0603
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3854 SHERIDAN ST SUITE A
-----------------------------------------------------
City | HOLLYWOOD
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33021-3630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-326-0603
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. ANNIE STURMAN
-----------------------------------------------------
Credential | A.P.
-----------------------------------------------------
Telephone | 954-326-0603
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AP1574
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------