| East Lake Acupuncture, Llc | |
|
819 E Oak St Ste B, Kissimmee, FL 34744-5842 | |
| (407) 738-7412 | |
| (321) 250-7841 |
| Full Name | East Lake Acupuncture, Llc |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 819 E Oak St Ste B, Kissimmee, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356693709 | NPI | - | NPPES |
| 102479200 | Medicaid | FL | |
| 12500125 | Other | FL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AP 3178 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| East Lake Acupuncture, Llc Po Box 700215, Saint Cloud, FL 34770-0215 Ph: (407) 738-7412 | East Lake Acupuncture, Llc 819 E Oak St Ste B, Kissimmee, FL 34744-5842 Ph: (407) 738-7412 |
Julie Daphnis, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 4617 Southport Bay Dr, Kissimmee, FL 34759 Phone: 862-582-2277 | |
Acumedgroup Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 103 W Oak St, Suite B, Kissimmee, FL 34741 Phone: 407-624-5258 Fax: 407-289-4047 | |
Tong Peng, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 2611 W Vine St Ste 101, Kissimmee, FL 34741 Phone: 407-781-6088 Fax: 407-910-4773 | |
Anthony Felix, AP Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 373 Cypress Pkwy, Kissimmee, FL 34759 Phone: 407-944-1777 | |
Annie Lusby, AP Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1633 E Vine St Ste 204, Kissimmee, FL 34744 Phone: 407-795-3007 | |
Mr. Genson Damour, AP, DOM Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 834 B North John Young Parkway, Kissimmee, FL 34741 Phone: 407-705-7004 | |
Dr. Kristen M. Hill, AP, DOM Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1107 Person St, Kissimmee, FL 34741 Phone: 407-624-5258 |