Organization Active NPI

Lifetree Acupuncture and Herbal Medicine

  • Acupuncturist
  • Sunrise, FL
National Provider Identifier
1770877839
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LIFETREE ACUPUNCTURE AND HERBAL MEDICINE
Practice address
2580 N University Dr
Sunrise, FL 33322-3055
Phone
(305) 772-4524
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Mr. Junghyun ParkNPI 1851699326
Title
Owner
Phone
(305) 772-4524

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 SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2580 N University Dr
Sunrise, FL 33322-3055

Mailing address

12920 SW 83Rd CT
Miami, FL 33156-5927
Phone (305) 256-9424

National Provider Directory

National Provider Directory

Locations

2580 N University Dr
Sunrise, FL 33322
Phone (305) 772-4524

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1770877839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 SW 83RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565927",
            "telephone_number": "305-256-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 N UNIVERSITY DR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223055",
            "telephone_number": "305-772-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETREE ACUPUNCTURE AND HERBAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNGHYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-772-4524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X 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 Jun 7, 2011; 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.