Soaring Crane Acupuncture and Herbal Medicine, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3367 Issued in FL

Legal business name

SOARING CRANE ACUPUNCTURE AND HERBAL MEDICINE, LLC

Practice address

3715 W Horatio St
Tampa, FL 33609-3917

Phone

(813) 770-6225

NPI assigned

Feb 27, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa Renfroe, DOM, AP

Title

Owner

Phone

(813) 770-6225

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1124443130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W SAN RAFAEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295733",
            "telephone_number": "813-770-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 W HORATIO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093917",
            "telephone_number": "813-770-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING CRANE ACUPUNCTURE AND HERBAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-770-6225",
        "authorized_official_credential": "DOM, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.