Emerald Coast Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EMERALD COAST ACUPUNCTURE LLC

Practice address

2929 Langley Ave Ste 101
Pensacola, FL 32504-7355

Phone

(850) 474-0883

NPI assigned

May 2, 2020

Last updated

May 2, 2020By 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

Mike Kovach, L.AC.NPI 1447886791

Title

Owner

Phone

(850) 474-0883

Specialties & licenses 1

Addresses

Locations

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.

• Mike Joseph Kovach, ACUPUNCTURIST

  • Acupuncturist
  • Pensacola, FL
  • NPI 1447886791
  NPD Authorized official

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588377600000",
    "number": "1447871215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 MAZUREK BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143974",
            "telephone_number": "850-474-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LANGLEY AVE STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047355",
            "telephone_number": "850-474-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A",
        "authorized_official_last_name": "KOVACH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-474-0883",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.