Eternal Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3755 Issued in FL

Legal business name

ETERNAL ACUPUNCTURE LLC

Practice address

2061 NW 2ND Ave
Suite 208
Boca Raton, FL 33431-6776

Phone

(561) 706-2642

NPI assigned

Mar 16, 2017

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kornelia Anna Vitez, L.AC., DIPL.O.M.NPI 1073050183

Title

Owner

Phone

(561) 706-2642

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kornelia Anna Vitez, A.P., DIPL.OM

  • Acupuncturist
  • Boca Raton, FL
  • NPI 1073050183
  NPD (past) Authorized official

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1295276756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N CLEARBROOK CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454564",
            "telephone_number": "561-452-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 NW 2ND AVE",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316776",
            "telephone_number": "561-706-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "VITEZ",
        "authorized_official_first_name": "KORNELIA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-706-2642",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC., DIPL.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Estevez, MD
• Estevez&Fork MDS PA
• Pierre Angy Estimable, PTA
• Melissa Estiverne
• Seth Howard Estrin, D.C.
• Eternal Wellness
• Kellee A Etghayi, A.P.R.N.
• Amy Christine Etkie, M.S.
• Andrea Buonaiuto Etkie
• Joshua David Etman, DDS

• Acupuncturist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.