MEDICARE: RITA NEUMANN DOM, AP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP505	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP-505	OTHER	FL	ACUPUNCTURE PHYSICIAN

General Provider Information

NPI Number	:	1053377267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA NEUMANN DOM, AP

Provider Business Mailing Address
First Line	:	203 S MOODY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3335
Country	:	US
Telephone Number	:	813-254-1998
Fax Number	:	813-259-1152

Provider Business Practice Location Address
First Line	:	203 S MOODY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3335
Country	:	US
Telephone Number	:	813-254-1998
Fax Number	:	813-259-1152

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	05/08/2009

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Directions to “ RITA NEUMANN DOM, AP” Practice Location

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