Provider Demographics
NPI:1831511435
Name:NORTH PORT ACUPUNCTURE INC
Entity type:Organization
Organization Name:NORTH PORT ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:NABERS
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:941-423-1500
Mailing Address - Street 1:PO BOX 8184
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34290-8184
Mailing Address - Country:US
Mailing Address - Phone:941-423-1500
Mailing Address - Fax:
Practice Address - Street 1:1361 S SUMTER BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2339
Practice Address - Country:US
Practice Address - Phone:941-423-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3374171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
207Q00000XOtherFAMILY PRACTICE
FL171100000XOtherACUPUNCTURIST