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EAST LAKE ACUPUNCTURE, LLC
NPI 1356693709
Acupuncturist in Kissimmee, FL

Active since October 10, 2012
819 E OAK ST STE B, KISSIMMEE, FL 34744(407) 738-7412(321) 250-7841 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Jul 23, 2020, Dec 11, 2019 and 1 more (4 updates tracked since 2019).

About East Lake Acupuncture, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST LAKE ACUPUNCTURE, LLC (NPI 1356693709), doing business as East Lake Acupuncture & Wellness, Llc, is a healthcare organization registered as an acupuncturist in Kissimmee, Florida and active in the NPI registry since October 2012. The organization lists Jeannette R Kerns, President, as its authorized official.

NPPES Registry Identity

NPI1356693709
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameEAST LAKE ACUPUNCTURE, LLC
Location Address819 E OAK ST STE BKissimmee, FL 34744-5842
Mailing AddressPo Box 700215Saint Cloud, FL 34770-0215 · (407) 738-7412 · Fax (321) 250-7841
Phone(407) 738-7412
Fax(321) 250-7841
Organization SubpartNo
Authorized OfficialJeannette R KernsPresident · (407) 738-7412
Enumeration DateOctober 10, 2012
Last NPPES UpdateAugust 29, 20254 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1356693709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in FL · AP 3178
Definition
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.
819 E OAK ST STE B, Kissimmee, FL 34744
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Other Names 1

Former Legal Business NameEast Lake Acupuncture & Wellness, Llc

Other Identifiers 2

Medicaid102479200FL
Other12500125FL · Caqh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIA JOVITA ARROYO
Massage Therapist
819 E OAK ST STE B
KISSIMMEE, FL 34744
Osceola County (407) 738-7412
UPPERLINE HEALTHCARE, PC
Podiatrist (Foot & Ankle Surgery)
819 E OAK ST STE B
KISSIMMEE, FL 34744
Osceola County (407) 846-1234
DR. MARILYN CELESTE TORIBIO DPM
Podiatrist (Foot & Ankle Surgery)
819 E OAK ST STE B
KISSIMMEE, FL 34744
Osceola County (407) 846-1234
DR. JEANNETTE R KERNS AP, DOM, L.AC.
Acupuncturist
819 E OAK ST STE B
KISSIMMEE, FL 34744
Osceola County (407) 738-7412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Lake Acupuncture, LLC's NPI number?

The NPI number for East Lake Acupuncture, LLC is 1356693709. It was assigned to this organization in the NPPES registry on October 10, 2012. The provider was formerly known as East Lake Acupuncture & Wellness, LLC.

Where is East Lake Acupuncture, LLC located?

East Lake Acupuncture, LLC is located at 819 E Oak St Ste B, Kissimmee, FL 34744. The listed phone number is (407) 738-7412.

What is East Lake Acupuncture, LLC's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for East Lake Acupuncture, LLC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.