| |
2639 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 | |
(352) 746-5669 | |
(352) 745-5795 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 2639 W Norvell Bryant Hwy, Lecanto, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699013979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AP 1286 (Florida) | Primary |
225700000X | Massage Therapist | MA 21942 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
2639 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 Ph: (352) 746-5669 | 2639 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 Ph: (352) 746-5669 |
Mr. Joseph Erick Samuels, D.O.M. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 2639 W Norvell Bryant Hwy, Lecanto, FL 34461 Phone: 352-746-5669 Fax: 352-746-5795 |