NPIMap

Organization Active NPI

Physicians of Traditional Chinese Medicine Inc

  • Acupuncturist
  • Sunrise, FL
National Provider Identifier
1750057618
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PHYSICIANS OF TRADITIONAL CHINESE MEDICINE INC
Practice address
4300 N University Dr Ste D100
Sunrise, FL 33351-6243
Phone
(305) 760-2414
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Walter Allen CampbellNPI 1841493061
Title
Owner
Phone
(305) 760-2414

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 MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4300 N University Dr Ste D100
Sunrise, FL 33351-6243

Mailing address

4300 N University Dr Ste D100
Sunrise, FL 33351-6243
Phone (305) 760-2414

National Provider Directory

National Provider Directory

Locations

4300 N University Dr
Ste D100
Lauderhill, FL 33351
Phone (305) 760-2414

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": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1750057618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE D100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "305-760-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE D100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "305-760-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS OF TRADITIONAL CHINESE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-760-2414"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.