MEDICARE: ACD HEALTH US PA

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	207RC0000X	Cardiovascular Disease Physician
2	207RC0000X	Cardiovascular Disease Physician	ME104128	FL

General Provider Information

NPI Number	:	1851879910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACD HEALTH US PA

Provider Business Mailing Address
First Line	:	410 LAKEVILLE RD STE 209
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1122
Country	:	US
Telephone Number	:	516-488-5050
Fax Number	:	516-326-6252

Provider Business Practice Location Address
First Line	:	7900 GLADES RD STE 350
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-4173
Country	:	US
Telephone Number	:	516-488-5050
Fax Number	:

Authorized Official
Title or Position	:	NATIONAL DIRECTOR
Name	:	LYNN WITT
Credential	:
Telephone Number	:	386-697-3793

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	08/10/2022

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Directions to “ACD HEALTH US PA ” Practice Location

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