Organization · NPI-2
American Integrative Health
General Practice · Clearwater, FL
NPI number1336537331
StatusActive
Last updated in NPPESDec 30, 2014
Details
- NPI
- 1336537331
- Entity type
- Organization (NPI-2)
- Legal business name
- American Integrative Health
- Organization subpart
- No
- Enumeration date
- Dec 30, 2014
- Last updated
- Dec 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ME113826 | FL | Yes |
Practice location
1001 S Fort Harrison AveSuite 200
Clearwater, FL 33756-3941
Phone 727-330-3844 · Fax 888-349-9247
Mailing address
1001 S Fort Harrison AveSuite 200
Clearwater, FL 33756-3941
Phone 727-330-3844 · Fax 888-349-9247
Authorized official
Andreas Grossgold
Medical Director
7273303844
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