1528421534 NPI number — PRESSURE POINTS ACUPUNCTURE PLLC

Table of content: (NPI 1528421534)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528421534 NPI number — PRESSURE POINTS ACUPUNCTURE PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRESSURE POINTS ACUPUNCTURE PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
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NPI Number Information

NPI Number:
1528421534
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
933 LEWIS DR
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
WINTER PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32789-2261
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-960-4472
Provider Business Mailing Address Fax Number:
407-960-4473

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
933 LEWIS DR
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
WINTER PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32789-2261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-960-4472
Provider Business Practice Location Address Fax Number:
407-960-4473
Provider Enumeration Date:
03/29/2016

Additional Information

Authorized Official

Authorized Official Last Name:
LANDKROON
Authorized Official First Name:
KARAN
Authorized Official Middle Name:
JEANNE
Authorized Official Title or Position:
ACUPUNCTURIST
Authorized Official Telephone Number:
407-960-4472

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AP 3276 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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