Theresa Gilmore, Lac

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP1721 Issued in FL

Legal business name

THERESA GILMORE, LAC

Practice address

9990 SW 77TH Ave
Suite 208
Miami, FL 33156-8115

Phone

(305) 812-1844

Fax

(305) 598-7242

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Ann Gilmore, LACNPI 1124443007

Title

Owner

Phone

(305) 812-1844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Ann Gilmore, L AC

  • Acupuncturist
  • Miami, FL
  • NPI 1124443007
  NPD (past) Authorized official

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1962802777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 SW 77TH AVE",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331568115",
            "telephone_number": "305-812-1844",
            "fax_number": "305-598-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 SW 77TH AVE",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331568115",
            "telephone_number": "305-812-1844",
            "fax_number": "305-598-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA GILMORE, LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-812-1844",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.