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NPI Code Detail

MEDICARE: EVOLVE ACUPUNCTURE AND WELLNESS

MEDICARE: EVOLVE ACUPUNCTURE AND WELLNESS
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1568071926
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVOLVE ACUPUNCTURE AND WELLNESS
Provider Business Mailing Address
First Line : 637 EAST DR
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-8713
Country : US
Telephone Number : 561-901-3899
Fax Number :
Provider Business Practice Location Address
First Line : 200 CONGRESS PARK DR STE 230
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4688
Country : US
Telephone Number : 561-910-3899
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. KIMBERLY ANN MARRONE
Credential : L.AC
Telephone Number : 561-901-3899
Provider Enumeration Date : 07/30/2020
Last Update Date : 07/30/2020

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Directions to “EVOLVE ACUPUNCTURE AND WELLNESS ” Practice Location

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