NPIMap

Organization Active NPI

Firecloud Acupuncture&Herb Clinic LLC

  • Acupuncturist
  • Winter Park, FL
National Provider Identifier
1437504727
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3510 Issued in FL
Legal business name
FIRECLOUD ACUPUNCTURE&HERB CLINIC LLC
Practice address
4063 N Goldenrod Rd
Suite 5
Winter Park, FL 32792-8914
Phone
(407) 492-7017
NPI assigned
Apr 25, 2016
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Youngpil GoNPI 1750746475
Title
Manager
Phone
(407) 335-4297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3510 FL Primary

Addresses

Primary practice location

4063 N Goldenrod Rd
Suite 5
Winter Park, FL 32792-8914

Mailing address

4063 N Goldenrod Rd
Suite 5
Winter Park, FL 32792-8914
Phone (407) 492-7017

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1437504727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD",
            "address_2": "SUITE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928914",
            "telephone_number": "407-492-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD",
            "address_2": "SUITE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928914",
            "telephone_number": "407-492-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRECLOUD ACUPUNCTURE&HERB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "YOUNGPIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-335-4297"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.