Provider Demographics
NPI:1437546645
Name:OSCEOLA ACUPUNCTURE & NATURAL HEALTH
Entity Type:Organization
Organization Name:OSCEOLA ACUPUNCTURE & NATURAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GORSUCH
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:407-433-3922
Mailing Address - Street 1:1945 HAM BROWN RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-4054
Mailing Address - Country:US
Mailing Address - Phone:407-948-9350
Mailing Address - Fax:
Practice Address - Street 1:1957 S JOHN YOUNG PKWY
Practice Address - Street 2:SUITE #L, M
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-6366
Practice Address - Country:US
Practice Address - Phone:407-433-3922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3470171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty