EAST LAKE ACUPUNCTURE & WELLNESS, LLC (NPI# 1063815702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063815702 |
Entity Type | Organization |
Organization Name | EAST LAKE ACUPUNCTURE & WELLNESS, LLC |
Practice Address |
4121 Neptune Rd Saint Cloud FL 34769-6741 |
Practice Telephone | 4077387412 |
Mailing Telephone | 4077387412 |
Enumeration Date | 2014-10-08 |
Last Update Date | 2014-10-08 |
Authorized Official Name | DR. JEANNETTE KERNS (OWNER) |
Authorized Official Telephone | 4077387412 |
Authorized Official Credential | AP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171100000X | Acupuncturist | Other Service Providers |
Other Name | Type Code |
---|---|
East Lake Acupuncture & Wellness, LLC | Former Legal Business Name - Organization |
Street Address |
4121 NEPTUNE RD |
City | SAINT CLOUD |
State | FL |
Zip Code | 34769-6741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184024572 | John Gorsuch | Acupuncturist | 4121 Neptune Rd, Saint Cloud, FL 34769-6741 | 2014-09-04 |
1003330457 | Maria Jovita Arroyo | Massage Therapist | 4121 Neptune Rd, Saint Cloud, FL 34769-6741 | 2017-07-27 |
1083087027 | Tanya Wolf | Massage Therapist | 4121 Neptune Rd, Saint Cloud, FL 34769-6741 | 2015-11-12 |
1215325691 | Yolanda M Carrillo | Acupuncturist | 4121 Neptune Rd, Saint Cloud, FL 34769-6741 | 2015-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
Find all providers in zip 34769 |
Taxonomy Code | 171100000X |
Grouping | Other Service Providers |
Classification | Acupuncturist |
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548728546 | East Lake Acupuncture, LLC | Acupuncturist | 1401 Budinger Ave Ste B, Saint Cloud, FL 34769-4138 | 2019-03-08 |
1427455716 | Christina Ann Arbogast | Acupuncturist | 3115 Innovation Dr, Saint Cloud, FL 34769-6501 | 2014-12-02 |
1184024572 | John Gorsuch | Acupuncturist | 4121 Neptune Rd, Saint Cloud, FL 34769-6741 | 2014-09-04 |
1629404033 | Jennifer F Torres-ordinas | Acupuncturist | 330 Pineland Ct, Apt A, Saint Cloud, FL 34769-1524 | 2013-09-17 |
1043503154 | Jessica Leah Rolfes | Acupuncturist | 2701 Clearwater Rd, Saint Cloud, MN 56301-5952 | 2011-05-23 |
1891097895 | Joshua Revermann | Acupuncturist | 2001 Stockinger Dr Ste 101, Saint Cloud, MN 56303-1243 | 2010-11-23 |
1881821593 | Jeannette R Kerns | Acupuncturist | 1551 Budinger Ave, Saint Cloud, FL 34769-4140 | 2009-06-19 |
1154353886 | John P Miley | Acupuncturist | 816 W Saint Germain St, Ste. 201, Saint Cloud, MN 56301-4502 | 2006-07-06 |
1144862079 | Ernesto Jose Valdes | Acupuncturist | 4227 13th St, Saint Cloud, FL 34769-6732 | 2019-10-11 |
1902287055 | Health and Knowledge Inc | Acupuncturist | 1700 13th St, Suite 1, Saint Cloud, FL 34769-4300 | 2015-06-15 |
Find all providers in SAINT CLOUD |
City | SAINT CLOUD |
Zip Code | 34769 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.