MEDICARE: KIMBERLY ANN BOCIEK A.P.

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	AP2622	FL

General Provider Information

NPI Number	:	1326272980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN BOCIEK A.P.

Provider Business Mailing Address
First Line	:	5209 36TH AVENUE DR W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-6003
Country	:	US
Telephone Number	:	941-914-4675
Fax Number	:

Provider Business Practice Location Address
First Line	:	3064 UNIVERSITY PKWY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2502
Country	:	US
Telephone Number	:	941-914-1675
Fax Number	:

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

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	12/09/2023

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