East Lake Acupuncture & Wellness, Llc

LBN: East Lake Acupuncture, Llc
East Lake Acupuncture & Wellness, Llc is an health care organization with primary practice located at 2801 17Th St Ste 102 , Saint Cloud FL 34769-4939. The organization recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as the primary health care specialty. East Lake Acupuncture, Llc can be contacted via phone (407) 738-7412, or through Kerns, Jeannette R via phone (407) 738-7412.

Contact Information

Primary practice address
2801 17Th St Ste 102 Saint Cloud FL 34769-4939
Phone: (407) 738-7412
Fax: (321) 250-7841
Website:
Map and Directions
Authorized official contact:
Name: Kerns, Jeannette R AP, DOM, L.AC.
Phone: (407) 738-7412

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP 3178 Florida

Profile Details

NPI number 1356693709
LBN Legal business name East Lake Acupuncture, Llc
DBA Doing business as East Lake Acupuncture & Wellness, Llc
Authorized official Kerns, Jeannette R AP, DOM, L.AC.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2012
Last updated Aug 17th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356693709 NPPES
Florida Other 12500125 CAQH
Florida MEDICAID 102479200 CAQH

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