Organization Active NPI

Full Moon Acupuncture and Healing Arts Center LLC

  • Acupuncturist
  • Davie, FL
National Provider Identifier
1851702104
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
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

Updated by the provider on May 8, 2014

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

Authorized official

Name
Alicia VillamarinNPI 1730308214
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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.