MEDICARE: CENTER FOR ACUPUNCTURE & INTEGRATIVE MEDICINE, LLC

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	AP2284	FL

General Provider Information

NPI Number	:	1851424048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR ACUPUNCTURE & INTEGRATIVE MEDICINE, LLC

Provider Business Mailing Address
First Line	:	2050 40TH AVE
Second Line	:	SUITE 2
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2467
Country	:	US
Telephone Number	:	772-564-8383
Fax Number	:	772-564-8377

Provider Business Practice Location Address
First Line	:	2050 40TH AVE
Second Line	:	SUITE 2
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2467
Country	:	US
Telephone Number	:	772-564-8383
Fax Number	:	772-564-8377

Authorized Official
Title or Position	:	MANAGER MEMBER
Name	:	ANGELA L. KING
Credential	:	A.P.
Telephone Number	:	772-564-8383

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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