MEDICARE: ADVANCED ACUPUNCTURE

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	261Q00000X	Clinic/Center	AP240	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP240	OTHER		FLORIDA ACUPUNCTURE LICENSE NUMBER

General Provider Information

NPI Number	:	1073915120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ACUPUNCTURE

Provider Business Mailing Address
First Line	:	5632 BEE RIDGE RD
Second Line	:	SUITE 101
City	:	SARASOTA
State	:	FL
Zip	:	34233-1556
Country	:	US
Telephone Number	:	941-378-9902
Fax Number	:	941-378-9961

Provider Business Practice Location Address
First Line	:	5632 BEE RIDGE RD
Second Line	:	SUITE 101
City	:	SARASOTA
State	:	FL
Zip	:	34233-1556
Country	:	US
Telephone Number	:	941-378-9902
Fax Number	:	941-378-9961

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RACHEL TOOMIM
Credential	:	AP
Telephone Number	:	941-378-9902

Provider Enumeration Date	:	09/19/2014
Last Update Date	:	05/06/2016

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Directions to “ADVANCED ACUPUNCTURE ” Practice Location

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