MEDICARE: JULIETTE SHEN 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	AP3836	FL

General Provider Information

NPI Number	:	1407360381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIETTE SHEN AP

Provider Business Mailing Address
First Line	:	2591 SW 16TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-3902
Country	:	US
Telephone Number	:	786-942-5798
Fax Number	:

Provider Business Practice Location Address
First Line	:	2591 SW 16TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-3902
Country	:	US
Telephone Number	:	786-942-5798
Fax Number	:

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

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	11/29/2017

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Directions to “ JULIETTE SHEN AP” Practice Location

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