Provider Demographics
NPI:1053646984
Name:ACUPUNCTURE PHYSICIANS GROUP LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE PHYSICIANS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOCIEK
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:941-914-4675
Mailing Address - Street 1:2568 CLEMATIS STREET
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-914-4675
Mailing Address - Fax:941-925-7744
Practice Address - Street 1:3920 BEE RIDGE RD. BLDG. E, 2ND LEVEL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233
Practice Address - Country:US
Practice Address - Phone:941-914-4675
Practice Address - Fax:941-925-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA.P. 2622171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty