MEDICARE: ANA TORIELLO D.O.M., 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	AP3270	FL

General Provider Information

NPI Number	:	1538569157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA TORIELLO D.O.M., A.P.

Provider Business Mailing Address
First Line	:	1901 N OCEAN BLVD APT 6C
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3702
Country	:	US
Telephone Number	:	954-296-4492
Fax Number	:

Provider Business Practice Location Address
First Line	:	3307 NE 33RD ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7109
Country	:	US
Telephone Number	:	954-652-6618
Fax Number	:

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

Provider Enumeration Date	:	09/02/2014
Last Update Date	:	07/09/2015

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