Active NPI
Lidelis D Lira, AP & LMT
- Acupuncturist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3334
- Practice address
- 11301 S Orange Blossom TRL Ste A208
Orlando, FL 32837-9292 - Phone
- (407) 751-2192
- Fax
- (407) 542-2243
- NPI assigned
- May 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA47503 | FL | |
| Acupuncturist | 171100000X | AP3334 | FL | Primary |
Addresses
Primary practice location
11301 S Orange Blossom TRL Ste A208
Orlando, FL 32837-9292
Mailing address
14712 SW 5TH St
Pembroke Pines, FL 33027-6113
Phone (786) 352-3844
Other practice location 1
14712 SW 5th St
Pembroke Pines, FL 33027-6113
Phone (786) 352-3844
Other practice location 2
11251 S Orange Blossom Trl Ste 101
Orlando, FL 32837-9297
Phone (407) 751-2192 ext. 8
Other practice location 3
1287 N Semoran Blvd Ste 100
Orlando, FL 32807-3530
Phone (407) 751-2192 ext. 8
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP3334 | FL | MD | Acupuncturist |
| MA47503 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture and Physical Therapy Specialists, Inc. | Acupuncturist | Past | Accepting new patients |
| Family Integrative Medicine of Orlando | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Orange City, FL
- NPI 1720155997
Acupuncturist
-
- Health Service Clinic/Center
- Orlando, FL
- NPI 1720572456
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591401600000",
"number": "1598059263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14712 SW 5TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276113",
"telephone_number": "786-352-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 S ORANGE BLOSSOM TRL STE A208",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379292",
"telephone_number": "407-751-2192",
"fax_number": "407-542-2243"
}
],
"practiceLocations": [
{
"address_1": "14712 SW 5th St",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330276113",
"country_code": "US",
"telephone_number": "786-352-3844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11251 S Orange Blossom Trl Ste 101",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328379297",
"country_code": "US",
"telephone_number": "407-751-2192 x8",
"fax_number": "407-542-2243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1287 N Semoran Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328073530",
"country_code": "US",
"telephone_number": "407-751-2192 x8",
"fax_number": "407-542-2243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIRA",
"first_name": "LIDELIS",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "AP & LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-30",
"last_updated": "2020-06-06",
"certification_date": "2020-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA47503",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.