1992138515 NPI number — DR. ROSEMARY LANG HARRIS LIC. ACUPUNCTURIST

Table of content: DR. ROSEMARY LANG HARRIS LIC. ACUPUNCTURIST (NPI 1992138515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992138515 NPI number — DR. ROSEMARY LANG HARRIS LIC. ACUPUNCTURIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARRIS
Provider First Name:
ROSEMARY
Provider Middle Name:
LANG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LIC. ACUPUNCTURIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992138515
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8613 BUCKSKIN MNR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COOPER CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33328-8664
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-409-5804
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2700 SW 3RD AVE
Provider Second Line Business Practice Location Address:
SUITE 2A
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33129-2331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-409-5804
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , 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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