Provider Demographics
NPI:1417088303
Name:MCCRACKEN, BELINDA ANNE (BELINDA MCCRACKEN AP)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:ANNE
Last Name:MCCRACKEN
Suffix:
Gender:F
Credentials:BELINDA MCCRACKEN AP
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:ANNE
Other - Last Name:VISCONTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BELINDA MCCRACKEN AP
Mailing Address - Street 1:711 S HWY 27
Mailing Address - Street 2:STE E
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2791
Mailing Address - Country:US
Mailing Address - Phone:352-243-9333
Mailing Address - Fax:
Practice Address - Street 1:711 S HWY 27
Practice Address - Street 2:STE E
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2791
Practice Address - Country:US
Practice Address - Phone:352-243-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2319171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist