National Provider Identifier Database

EAST LAKE ACUPUNCTURE LLC
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.


Contact Information

EAST LAKE ACUPUNCTURE, LLC
819 E OAK ST STE B
KISSIMMEE, FL34744-5842
Phone: 407-738-7412
Fax: 321-250-7841
Website:
Specialty Taxonomy Code
* Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for EAST LAKE ACUPUNCTURE, LLC

NPI Number 1356693709
Legal business name
LBN
EAST LAKE ACUPUNCTURE, LLC
Authorized official JEANNETTE KERNS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/10/2012
Last updated 08/29/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: AP 3178
  • FL Medicaid: 102479200
  • FL Other: 12500125 CAQH

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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