Organization
BLOOMINGDALE ACUPUNCTURE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO CACERES LAC, AP (OWNER)
(813) 341-2200
Entity
Organization
Contact information
Practice address
10015 PARK PLACE AVE, RIVERVIEW, FL 33578-5303
(813) 341-2200
(801) 469-0016
Mailing address
10419 KANKAKEE LN, RIVERVIEW, FL 33578-8302
(813) 341-2200
(801) 469-0016
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1469
FL
Other
Enumeration date
03/23/2016
Last updated
05/24/2023
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