Individual provider Active NPI

Jeffrey Alan Prol, L AC.

  • Acupuncturist
  • Miami Beach, FL
National Provider Identifier
1457550097
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2434 Issued in FL
Practice address
975 W 41St St
Suite: 500
Miami Beach, FL 33140-3329
Phone
(305) 532-0777
Fax
(305) 532-0888
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2434 FL Primary

Addresses

Primary practice location

975 W 41St St
Suite: 500
Miami Beach, FL 33140-3329

Mailing address

975 W 41St St
Suite: 500
Miami Beach, FL 33140-3329
Phone (305) 532-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP 2434FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1457550097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 W 41ST ST",
            "address_2": "SUITE: 500",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403329",
            "telephone_number": "305-532-0777",
            "fax_number": "305-532-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W 41ST ST",
            "address_2": "SUITE: 500",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403329",
            "telephone_number": "305-532-0777",
            "fax_number": "305-532-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROL",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "L AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.