Organization Name: | AMERICAN INTEGRATIVE HEALTH |
NPI Number: | 1336537331 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREAS GROSSGOLD (MEDICAL DIRECTOR) |
Mailing Address: | 1001 S Fort Harrison Ave Suite 200 Clearwater |
State: | FL US |
Postal Code: | 337563941 |
Phone Number: | 7273303844 |
Fax Number: | 8883499247 |
NPI Enumeration Date: | 12/30/2014 |
NPI Last Update Date: | 12/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME113826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |