Bloomingdale Acupuncture, P.a.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP1469 Issued in FL

Legal business name

BLOOMINGDALE ACUPUNCTURE, P.A.

Practice address

10015 Park Place Ave
Riverview, FL 33578-5303

Phone

(813) 341-2200

Fax

(801) 469-0016

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Caceres, LAC, APNPI 1437481561

Title

Owner

Phone

(813) 341-2200

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.

• Guillermo Caceres, L.AC.

  • Acupuncturist
  • Brandon, FL
  • NPI 1437481561
  NPD Authorized official

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1457713976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 KANKAKEE LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788302",
            "telephone_number": "813-341-2200",
            "fax_number": "801-469-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 PARK PLACE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785303",
            "telephone_number": "813-341-2200",
            "fax_number": "801-469-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE ACUPUNCTURE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-341-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Blanco
• Jacqueline Blankenship, M.C.D., CCC-SLP
• Blessing Angels Assisted Living LLC
• Diane A Bloechl, PHARM D
• Blooming Counseling LLC
• Bloomingdale Medical Associates
• Noelani Blunt
• Kevin R Bobos, OTR/L
• Body-Mechanic LLC
• Sharnese Boggs

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.