MEDICARE: ANDREA SMOUS 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	AP2290	FL

General Provider Information

NPI Number	:	1568736817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA SMOUS A.P.

Provider Business Mailing Address
First Line	:	2625 SE 7TH ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-6121
Country	:	US
Telephone Number	:	954-594-0843
Fax Number	:

Provider Business Practice Location Address
First Line	:	2818 E OAKLAND PARK BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1814
Country	:	US
Telephone Number	:	954-594-0843
Fax Number	:

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

Provider Enumeration Date	:	03/05/2012
Last Update Date	:	09/14/2023

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