Alma Vanessa Goldstein, L.AC., A.P.
Individual provider Active NPI Acupuncturist · Port St Lucie, FL
NPI 1013067024 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1013067024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AP2064 (FL)
- Practice address
- 1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134 - Phone
- (772) 398-5400
- Fax
- (772) 446-4651
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2064 | FL | MD | Acupuncturist |
| AP2064 | FL | MD | Acupuncturist |
| 00787 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture of Tradition LLC | Acupuncturist | Current | Accepting new patients |
Locations
10050 SW Innovation Way
Ste 201
Port St Lucie, FL 34987
Phone (772) 781-2735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2064 | FL | |
| Acupuncturist | 171100000X | 00787 | NY | |
| Acupuncturist |
171100000X | AP2064 | FL | Yes |
Addresses
Primary practice location
1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134
Mailing address
1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134
Phone (772) 398-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00787 | Other | NY | ACUPUNCTURE LICENSE |
| AP2064 | Other | FL | ACUPUNCTURE LICENSE |
Other providers in Port St Lucie, FL
- Susan Sawchuk Goebel
- Emily Amanda Gold
- Kenneth Jay Gold
- Lauren Nunez Gold
- Golden Years Senior Care, Inc.
- Morgan Goldstein
- Goldtree Endo
- Goldtree Kidney Center LLC
- Goldtree RX LLC
- Luis Gomez Reyes
All providers in Port St Lucie, FL · Acupuncturist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.