# BLOOMINGDALE ACUPUNCTURE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457713976
- **Authorized official:** DR. GUILLERMO CACERES LAC, AP (OWNER)
- **Authorized official phone:** (813) 341-2200

## Contact information

- **Practice address:** 10015 PARK PLACE AVE, RIVERVIEW, FL 33578-5303
- **Practice address phone:** (813) 341-2200
- **Practice address fax:** (801) 469-0016
- **Mailing address:** 10419 KANKAKEE LN, RIVERVIEW, FL 33578-8302
- **Mailing address phone:** (813) 341-2200
- **Mailing address fax:** (801) 469-0016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP1469 | FL | Yes |

## Other

- **Enumeration date:** 03/23/2016
- **Last updated:** 05/24/2023