Anderson Carlos Goncalves, AP, DACM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2745 Issued in FL

Practice address

10935 SE 177TH PL Ste 201
Summerfield, FL 34491-8971

Phone

(321) 246-1155

Fax

(352) 570-9653

NPI assigned

Oct 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Lifestyle Clinic LLC

  • Acupuncturist
  • Summerfield, FL
  • NPI 1861278467
  NPD Authorized official
• C3 Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Kissimmee, FL
  • NPI 1811490287

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1891021804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 SE 177TH PL STE 201",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918971",
            "telephone_number": "321-246-1155",
            "fax_number": "352-570-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 SE 177TH PL STE 201",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918971",
            "telephone_number": "321-246-1155",
            "fax_number": "352-570-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "ANDERSON",
        "middle_name": "CARLOS",
        "credential": "AP, DACM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Geddes III, O.D.
• Sara Ines Gitte, MD
• Gold Services
• Jack Deems Gold, PH.D.
• Goldpsychology
• Florines Gonzalez, ARNP, FNP-BC
• Grace and Harmony
• Greater Ocala Anesthesia Associates LLC
• Kenneth David Grier, OD
• Boyd Kelly Gubler, OD

• Acupuncturist in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.