Organization Active NPI

Manatee Integrated Acupuncture LLC

  • Acupuncturist
  • Bradenton, FL
National Provider Identifier
1962676387
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2468 Issued in FL
Legal business name
MANATEE INTEGRATED ACUPUNCTURE LLC
Practice address
3653 Cortez Rd W Ste 120
Bradenton, FL 34210-3168
Phone
(941) 751-8008
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Ms. Cynthia S Evans, RN, AP, DOM
Title
Owner
Phone
(941) 751-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 2468 FL Primary

Addresses

Primary practice location

3653 Cortez Rd W Ste 120
Bradenton, FL 34210-3168

Mailing address

3210 Southern Pkwy W
Bradenton, FL 34205-2938
Phone (941) 751-8008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1962676387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SOUTHERN PKWY W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052938",
            "telephone_number": "941-751-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 CORTEZ RD W STE 120",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103168",
            "telephone_number": "941-751-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE INTEGRATED ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-751-8008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, AP, DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "2468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

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