In Light Acupuncture & Herbology LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AP3479 Issued in FL

Legal business name

IN LIGHT ACUPUNCTURE & HERBOLOGY LLC

Practice address

1801 Bayou Grande Blvd NE
St Petersburg, FL 33703-1909

Phone

(727) 698-6391

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Phuong TT Ngo

Title

MGR

Phone

(727) 698-6391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1740703073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BAYOU GRANDE BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BAYOU GRANDE BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031909",
            "telephone_number": "727-698-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN LIGHT ACUPUNCTURE & HERBOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "TT",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "727-698-6391"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "AP3479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.