Organization Active NPI

Penthouse Acupuncture LLC

  • Acupuncturist
  • Altamonte Springs, FL
National Provider Identifier
1588064778
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2423 Issued in FL
Legal business name
PENTHOUSE ACUPUNCTURE LLC
Practice address
407 Centerpointe Cir
Suite 1647
Altamonte Springs, FL 32701-3456
Phone
(407) 439-5078
Fax
(407) 264-6798
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Mr. Manouchehr Eghbal, LACNPI 1043410434
Title
Owner
Phone
(407) 439-5078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP2423 FL Primary

Addresses

Primary practice location

407 Centerpointe Cir
Suite 1647
Altamonte Springs, FL 32701-3456

Mailing address

407 Centerpointe Cir
Suite 1647
Altamonte Springs, FL 32701-3456
Phone (407) 439-5078

National Provider Directory

National Provider Directory

Locations

407 Centerpointe Cir
Ste 1647
Altamonte Springs, FL 32701
Phone (407) 439-5078

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": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1588064778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CENTERPOINTE CIR",
            "address_2": "SUITE 1647",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013456",
            "telephone_number": "407-439-5078",
            "fax_number": "407-264-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CENTERPOINTE CIR",
            "address_2": "SUITE 1647",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013456",
            "telephone_number": "407-439-5078",
            "fax_number": "407-264-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTHOUSE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "EGHBAL",
        "authorized_official_first_name": "MANOUCHEHR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-439-5078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.