Organization Active NPI

Longvilleacu

  • Acupuncturist
  • Ft Lauderdale, FL
National Provider Identifier
1710489331
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3878 Issued in FL
Legal business name
LONGVILLEACU
Practice address
2740 E Oakland Park Blvd Ste 101
Ft Lauderdale, FL 33306-1675
Phone
(954) 769-0946
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Leonie Wims, L.,AC.
Title
Owner
Phone
(954) 769-0946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AP3878 FL Primary

Addresses

Primary practice location

2740 E Oakland Park Blvd Ste 101
Ft Lauderdale, FL 33306-1675

Mailing address

2740 E Oakland Park Blvd Ste 101
Ft Lauderdale, FL 33306-1675
Phone (954) 769-0946

Other names 1

  • LongvilleAcu Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1710489331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 E OAKLAND PARK BLVD STE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061675",
            "telephone_number": "954-769-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 E OAKLAND PARK BLVD STE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061675",
            "telephone_number": "954-769-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVILLEACU",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "WIMS",
        "authorized_official_first_name": "LEONIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-769-0946",
        "authorized_official_credential": "L.,AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LongvilleAcu",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.