MEDICARE: LIANE DEEDS

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	AP3540	FL

General Provider Information

NPI Number	:	1841642121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANE DEEDS

Provider Business Mailing Address
First Line	:	2975 BOBCAT VILLAGE CENTER RD
Second Line	:	300
City	:	NORTH PORT
State	:	FL
Zip	:	34288-4600
Country	:	US
Telephone Number	:	941-408-4397
Fax Number	:

Provider Business Practice Location Address
First Line	:	2975 BOBCAT VILLAGE CENTER RD
Second Line	:	300
City	:	NORTH PORT
State	:	FL
Zip	:	34288-4600
Country	:	US
Telephone Number	:	941-408-4397
Fax Number	:

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

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	07/11/2016

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Directions to “ LIANE DEEDS ” Practice Location

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