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Deactivated NPI 1982143665 Deactivated / Inactive NPI Female Practitioner

Dr. Josephine Chan , DOM, AP

Acupuncturist • Orlando, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Josephine Chan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2017
NPI Deactivation Date January 12, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Josephine Chan, DOM, AP was a registered Acupuncturist practicing in Orlando, FL. Throughout an active medical career spanning 4 years, Dr. Chan provided care at the practice location at 924 N MAGNOLIA AVE STE 332 until profile deactivation on 2021-01-12.

Practice Location & Contact Primary Location

Practice Address

924 N Magnolia Ave Ste 332

Orlando, FL 328033852

Telephone 4077580179
Fax 4076020942
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
139 Specialists

Practicing in Orlando, FL (2398 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-05
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License FL 3797

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
107565300 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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Updated Practice Location February 12, 2021

Registered at 924 N MAGNOLIA AVE STE 332, ORLANDO, FL 328033852 (Tel: 4077580179)

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Updated Business Mailing Address February 12, 2021

Registered at 1937 CORNER GLEN DR, ORLANDO, FL 328201952 (Tel: 4077580179)

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Provider Name / Credentials Updated February 12, 2021

Recorded as JOSEPHINE CHAN, DOM, AP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2021

Acupuncturist (License #3797 in FL)

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NPI Profile Deactivated January 12, 2021

Record deactivated on January 12, 2021

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Updated Practice Location November 06, 2020

Registered at 924 N MAGNOLIA AVE STE 332, ORLANDO, FL 328033852 (Tel: 4077580179)

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2017

Registered at 3101 MAGUIRE BLVD, SUITE 230, ORLANDO, FL 328033763 (Tel: 4077580179)

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Updated Business Mailing Address February 15, 2017

Registered at 1937 CORNER GLEN DR, ORLANDO, FL 328201952 (Tel: 4077580176)

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Provider Name / Credentials Updated February 15, 2017

Recorded as JOSEPHINE CHAN, DOM, AP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Acupuncturist (License #3797 in FL)

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Initial NPI Registration & Enumeration February 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982143665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2017
Last Update: March 05, 2025
Deactivation Date: January 12, 2021
Sole Proprietor: Yes

Mailing Address

1937 Corner Glen Dr

Orlando, FL 328201952

Phone: 4077580179

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.