Provider Demographics
NPI:1831520329
Name:FIORENZA, PATSY (L AC)
Entity type:Individual
Prefix:MR
First Name:PATSY
Middle Name:
Last Name:FIORENZA
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6086 DIMOND ST
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6739
Mailing Address - Country:US
Mailing Address - Phone:561-575-6000
Mailing Address - Fax:561-575-9995
Practice Address - Street 1:601 W INDIANTOWN RD
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7525
Practice Address - Country:US
Practice Address - Phone:561-575-6000
Practice Address - Fax:561-575-9995
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3199171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist