Organization Active NPI

Med TCM LLC

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1508595232
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MED TCM LLC
Practice address
800 E Broward Blvd Ste 403
Fort Lauderdale, FL 33301-2033
Phone
(718) 986-3079
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Margeret M Frodel, AP
Title
Partner
Phone
(718) 986-3079

Specialties & licenses 1

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

Addresses

Primary practice location

800 E Broward Blvd Ste 403
Fort Lauderdale, FL 33301-2033

Mailing address

800 E Broward Blvd Ste 403
Fort Lauderdale, FL 33301-2033
Phone (718) 986-3079

Other names 1

  • Soul Acupuncture & Herbal Doing business as

National Provider Directory

National Provider Directory

Locations

800 E Broward Blvd
Ste 403
Fort Lauderdale, FL 33301
Phone (718) 986-3079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1508595232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 403",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012033",
            "telephone_number": "718-986-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 403",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012033",
            "telephone_number": "718-986-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED TCM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "FRODEL",
        "authorized_official_first_name": "MARGERET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-986-3079",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Acupuncture & Herbal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.