MEDICARE: LOTUS 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	302R00000X	Health Maintenance Organization	AP 3029	FL

General Provider Information

NPI Number	:	1275937609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUS ACUPUNCTURE

Provider Business Mailing Address
First Line	:	3727 N GOLDENROD RD
Second Line	:	104
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8611
Country	:	US
Telephone Number	:	321-800-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	1909 LAKE BALDWIN LN
Second Line	:	208
City	:	ORLANDO
State	:	FL
Zip	:	32814-6927
Country	:	US
Telephone Number	:	561-635-9383
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	DR. THOA HO
Credential	:	DOM
Telephone Number	:	561-635-9383

Provider Enumeration Date	:	10/14/2014
Last Update Date	:	10/14/2014

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Directions to “LOTUS ACUPUNCTURE ” Practice Location

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