MEDICARE: RED DRAGON HEALTH CARE INC.

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

General Provider Information

NPI Number	:	1073156204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED DRAGON HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	3701 W COMMERCIAL BLVD
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33309-3313
Country	:	US
Telephone Number	:	786-870-7001
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 W COMMERCIAL BLVD
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33309-3313
Country	:	US
Telephone Number	:	786-870-7001
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF ORIENTAL MEDICINE
Name	:	DR. ARTHUR L ANDERSON
Credential	:	D.O.M.
Telephone Number	:	786-282-1997

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	10/21/2019

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