BODHI TRADITIONAL CHINESE MEDICINE INC
NPI 1871013649
Acupuncturist in Melbourne, FL

Active since June 22, 2017
304 S HARBOR CITY BLVD STE 101, MELBOURNE, FL 32901(321) 312-0771(352) 204-8490 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2026, Aug 8, 2019, Jun 22, 2017 (3 updates tracked since 2017).

About Bodhi Traditional Chinese Medicine Inc NPPES

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

BODHI TRADITIONAL CHINESE MEDICINE INC (NPI 1871013649) is a healthcare organization registered as an acupuncturist in Melbourne, Florida and active in the NPI registry since June 2017. The organization lists Andrea Izquierdo, Dr. Of Chinese Medicine, as its authorized official.

NPPES Registry Identity

NPI1871013649
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameBODHI TRADITIONAL CHINESE MEDICINE INC
Location Address304 S HARBOR CITY BLVD STE 101Melbourne, FL 32901-1382
Mailing Address304 S Harbor City Blvd Ste 101Melbourne, FL 32901-1382 · (321) 312-0771 · Fax (352) 204-8490
Fax(352) 204-8490
Organization SubpartNo
Authorized OfficialAndrea IzquierdoDr. Of Chinese Medicine · (321) 312-0771
Enumeration DateJune 22, 2017
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1871013649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in FL · AP3822
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.
304 S HARBOR CITY BLVD STE 101, Melbourne, FL 32901

Other Names 1

Other NameBodhi Tcm

Other Identifiers 1

Other1972031169Personal Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Bodhi Traditional Chinese Medicine Inc's NPI number?

The NPI number for Bodhi Traditional Chinese Medicine Inc is 1871013649. It was assigned to this organization in the NPPES registry on June 22, 2017. The provider is also known as Bodhi TCM.

Where is Bodhi Traditional Chinese Medicine Inc located?

Bodhi Traditional Chinese Medicine Inc is located at 304 S Harbor City Blvd Ste 101, Melbourne, FL 32901. The listed phone number is (321) 312-0771.

What is Bodhi Traditional Chinese Medicine Inc'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 Bodhi Traditional Chinese Medicine Inc was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.