Provider Demographics
NPI:1720225535
Name:ACU-HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ACU-HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER-MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:TRACEY
Authorized Official - Suffix:
Authorized Official - Credentials:OMD, AP
Authorized Official - Phone:954-394-9098
Mailing Address - Street 1:3325 GRIFFIN RD STE E176
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-5500
Mailing Address - Country:US
Mailing Address - Phone:954-394-9098
Mailing Address - Fax:
Practice Address - Street 1:3325 GRIFFIN RD STE E176
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5500
Practice Address - Country:US
Practice Address - Phone:954-394-9098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP953171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty