Organization Active NPI

Pandi Acupuncture and Massage

  • Acupuncturist
  • Kissimmee, FL
National Provider Identifier
1336592831
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2758 Issued in FL
Legal business name
PANDI ACUPUNCTURE AND MASSAGE
Practice address
115 N Stewart Ave
Kissimmee, FL 34741-5492
Phone
(407) 733-1012
NPI assigned
Jul 20, 2016
Last updated
Jul 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Ivette Marie Martinez, L.M.T.A.P.
Title
Acupuncture Physician Massage Thera
Phone
(407) 733-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP 2758 FL Primary

Addresses

Primary practice location

115 N Stewart Ave
Kissimmee, FL 34741-5492

Mailing address

115 N Stewart Ave
Kissimmee, FL 34741-5492
Phone (407) 733-1012

National Provider Directory

National Provider Directory
Tax ID family
Living Waters Wellness Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 N Stewart Ave
Kissimmee, FL 34741
Phone (407) 733-1012

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1336592831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N STEWART AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415492",
            "telephone_number": "407-733-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N STEWART AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415492",
            "telephone_number": "407-733-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDI ACUPUNCTURE AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN MASSAGE THERA",
        "authorized_official_telephone_number": "407-733-1012",
        "authorized_official_credential": "L.M.T.A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.