MEDICARE: MR. RICHARD DEEB AP

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	AP1281	FL

General Provider Information

NPI Number	:	1871081141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD DEEB AP

Provider Business Mailing Address
First Line	:	9400 RIVER CROSSING BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-6033
Country	:	US
Telephone Number	:	727-376-7955
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 RIVER CROSSING BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-6033
Country	:	US
Telephone Number	:	727-376-7955
Fax Number	:

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

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	04/23/2018

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