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NPI Code Detail

MEDICARE: CADUCEUS ACUPUNTURE MEDICAL CENTER LLC

MEDICARE: CADUCEUS ACUPUNTURE MEDICAL CENTER 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
1171100000XAcupuncturistAP2382FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP2382OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1942607973
Entity Type Code : Organization
Provider Name (Legal Business Name) : CADUCEUS ACUPUNTURE MEDICAL CENTER LLC
Provider Business Mailing Address
First Line : 1195 N MILITARY TRL
Second Line : SUITE 5 B
City : WEST PALM BEACH
State : FL
Zip : 33409-6058
Country : US
Telephone Number : 561-557-2138
Fax Number : 561-215-5059
Provider Business Practice Location Address
First Line : 1195 N MILITARY TRL
Second Line : SUITE 5 B
City : WEST PALM BEACH
State : FL
Zip : 33409-6058
Country : US
Telephone Number : 561-557-2138
Fax Number : 561-215-5059
Authorized Official
Title or Position : PRESIDENT/OWNER/PROVIDER
Name : KESNEL THEUS
Credential : AP
Telephone Number : 561-557-2138
Provider Enumeration Date : 11/19/2014
Last Update Date : 11/20/2014

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Directions to “CADUCEUS ACUPUNTURE MEDICAL CENTER LLC ” Practice Location

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