Organization · NPI-2
Alternative Medical Group INC
Acupuncturist · Tampa, FL
NPI number1639390859
StatusActive
Last updated in NPPESJun 12, 2008
Details
- NPI
- 1639390859
- Entity type
- Organization (NPI-2)
- Legal business name
- Alternative Medical Group INC
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Last updated
- Jun 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AP519 | FL | Yes |
Practice location
2702 W Tampa Bay BlvdTampa, FL 33607-6816
Phone 813-875-4444 · Fax 813-876-6992
Mailing address
2702 W Tampa Bay BlvdTampa, FL 33607-6816
Phone 813-875-4444 · Fax 813-876-6992
Authorized official
Deborah Davis
Billing Representative
3522320470
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