Active NPI
Gulf Coast Acupuncture & Wellness Clinic, Inc.
- Acupuncturist
- Englewood, FL
National Provider Identifier
1366649469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1555
- Legal business name
- GULF COAST ACUPUNCTURE & WELLNESS CLINIC, INC.
- Practice address
- 642 N Indiana Ave
Englewood, FL 34223-2728 - Phone
- (941) 473-8978
- NPI assigned
- Jul 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matt R Debona
- Title
- Acupuncture Physician
- Phone
- (941) 473-8978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP1555 | FL | Primary |
Addresses
Primary practice location
642 N Indiana Ave
Englewood, FL 34223-2728
Mailing address
642 N Indiana Ave
Englewood, FL 34223-2728
National Provider Directory
National Provider DirectoryLocations
642 N Indiana Ave
Englewood, FL 34223
Phone (941) 473-8978
Practitioners & affiliated clinicians
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.
-
- Acupuncturist
- Zephyrhills, FL
- NPI 1033255575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366649469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 N INDIANA AVE",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342232728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 N INDIANA AVE",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342232728",
"telephone_number": "941-473-8978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST ACUPUNCTURE & WELLNESS CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEBONA",
"authorized_official_first_name": "MATT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
"authorized_official_telephone_number": "941-473-8978",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
- Darla Griswold
- Guardian Angel Foot Care of Bradenton Venice and Englewood Inc
- Ella Marie Guastavino, M.D.
- Lauren Guillot, DDS
- Ashraf Adib Guindi, MD
- Gulf Coast Comprehensive Care LLP
- Gulf Coast Counseling, Inc
- Gulf Coast Hma Physician Management LLC (Bayfronthealth Rehab)
- Gulf Coast Hma Physician Management LLC (GCMG-Englewood)
- Gulf Coast Hma Physician Management LLC (Englewood Primary Care & Walk In)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.