Fred Patrick Della Jacono, AP,LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4006 Issued in FL

Practice address

4400 W Sample Rd Ste 240
Coconut Creek, FL 33073-3473

Phone

(754) 326-1127

NPI assigned

Dec 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Floridian Wellness LLC

  • Chiropractor
  • Coconut Creek, FL
  • NPI 1114723541
  Medicare reassignment NPD Authorized official
• Floridian Wellness LLC

  • Acupuncturist
  • Coconut Creek, FL
  • NPI 1912856196
  NPD Authorized official

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1154891026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW 37TH WAY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662261",
            "telephone_number": "954-488-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 240",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733473",
            "telephone_number": "754-326-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA JACONO",
        "first_name": "FRED",
        "middle_name": "PATRICK",
        "credential": "AP,LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4006",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14560",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "46183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Debrito, PMHNP
• Deerfield Beach Medical Clinic, P.a.
• Kettly E Defrant
• James Deleo, MD
• Alyssa Marie Delgado, LMT
• Emily Dellamico
• Dental First Care PA
• Dental Team of Coconut Creek LLC
• Wana Deronvil
• Herbrion Desrouleaux, LPN

• Acupuncturist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.