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NPI Code Detail

MEDICARE: ALYCIA J MASSEY AP, DOM

MEDICARE: ALYCIA J MASSEY AP, DOM
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
1171100000XAcupuncturist2938FL

General Provider Information

NPI Number : 1528357159
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYCIA J MASSEY AP, DOM
Provider Business Mailing Address
First Line : 6146 TURNBURY PARK DR
Second Line : SUITE 4304
City : SARASOTA
State : FL
Zip : 34243-6104
Country : US
Telephone Number : 941-914-8122
Fax Number :
Provider Business Practice Location Address
First Line : 6146 TURNBURY PARK DR
Second Line : SUITE 4304
City : SARASOTA
State : FL
Zip : 34243-6104
Country : US
Telephone Number : 941-914-8122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2011
Last Update Date : 04/05/2011

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