Active NPI
Full Moon Acupuncture and Healing Arts Center LLC
- Acupuncturist
- Davie, FL
National Provider Identifier
1851702104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- FULL MOON ACUPUNCTURE AND HEALING ARTS CENTER LLC
- Practice address
- 10400 Griffin Rd
Suite 106
Davie, FL 33328-3337 - Phone
- (954) 680-5510
- NPI assigned
- May 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Villamarin
- Title
- Member
- Phone
- (954) 680-5510
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
10400 Griffin Rd
Suite 106
Davie, FL 33328-3337
Mailing address
10400 Griffin Rd
Suite 106
Davie, FL 33328-3337
Phone (954) 680-5510
National Provider Directory
National Provider DirectoryLocations
10400 Griffin Rd
Ste 106
Davie, FL 33328
Phone (954) 330-6519
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Davie, FL
- NPI 1730308214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399507200000",
"number": "1851702104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 GRIFFIN RD",
"address_2": "SUITE 106",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283337",
"telephone_number": "954-680-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 GRIFFIN RD",
"address_2": "SUITE 106",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283337",
"telephone_number": "954-680-5510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL MOON ACUPUNCTURE AND HEALING ARTS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A",
"authorized_official_last_name": "VILLAMARIN",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "954-680-5510"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.