Active NPI
Mariam Emilia Tovar, DOM
- Acupuncturist
- Windermere, FL
National Provider Identifier
1962775130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3091
- Practice address
- 11557 Amidship LN Unit 7307
Windermere, FL 34786-5535 - Phone
- (954) 867-6610
- NPI assigned
- Feb 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP3091 | FL | Primary |
Addresses
Primary practice location
11557 Amidship LN Unit 7307
Windermere, FL 34786-5535
Mailing address
5804 Lake Undehill Rd. Ste a
Orlando, FL 32807
Phone (954) 867-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3091 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Harmony Medicine | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Windermere, FL
- NPI 1356700306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1962775130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5804 LAKE UNDEHILL RD. STE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32807",
"telephone_number": "954-867-6610",
"fax_number": "407-203-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11557 AMIDSHIP LN UNIT 7307",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865535",
"telephone_number": "954-867-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOVAR",
"first_name": "MARIAM",
"middle_name": "EMILIA",
"name_prefix": "Dr.",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-17",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.