Revitalize Health Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

REVITALIZE HEALTH ACUPUNCTURE

Practice address

10927 N 56TH St
Temple Terrace, FL 33617-3000

Phone

(760) 710-7836

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Liem Quang Le-Lau, DAOM

Title

Owner/Practitioner

Phone

(760) 710-7836

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.

• Liem Quang Le, L.AC., DIPLO. OM.

  • Acupuncturist
  • Tampa, FL
  • NPI 1639518475
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1659732683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E JACKSON ST # 224",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024904",
            "telephone_number": "760-710-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173000",
            "telephone_number": "760-710-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE HEALTH ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "LE-LAU",
        "authorized_official_first_name": "LIEM",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "760-710-7836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Remington
• Renal Care Group Tampa, LLC
• Olivia Jenna Renninger
• Thomas Francis Renny, D.O.
• Valeria L Renta
• Amber Rhoads
• Rajaa Riad, MD
• David Richardson
• Faizah Syed-Ali Richardson, APRN
• Jesyka Rebecca Ricker, IBCLC

• Acupuncturist in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.