Provider Demographics
NPI:1417595877
Name:VISCONTI ACUPUNCTURE & NATURAL MEDICINE, PA
Entity Type:Organization
Organization Name:VISCONTI ACUPUNCTURE & NATURAL MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:VISCONTI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, ND
Authorized Official - Phone:407-614-1616
Mailing Address - Street 1:PO BOX 1204
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34760-1204
Mailing Address - Country:US
Mailing Address - Phone:407-614-1616
Mailing Address - Fax:407-614-1617
Practice Address - Street 1:301 S TUBB ST STE E2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:FL
Practice Address - Zip Code:34760-8859
Practice Address - Country:US
Practice Address - Phone:407-614-1616
Practice Address - Fax:407-614-1617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty