MEDICARE: ENRIQUE BATISTA LAC

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	4184	FL

General Provider Information

NPI Number	:	1568254902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENRIQUE BATISTA LAC

Provider Business Mailing Address
First Line	:	3870 NW 64TH AVE
Second Line	:
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3870 NW 64TH AVE
Second Line	:
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6947
Country	:	US
Telephone Number	:	954-668-4736
Fax Number	:

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

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/21/2025

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Directions to “ ENRIQUE BATISTA LAC” Practice Location

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