Provider Demographics
| NPI: | 1760791016 |
|---|---|
| Name: | A ALTERNATIVE HEALTH CENTER, P.A. |
| Entity type: | Organization |
| Organization Name: | A ALTERNATIVE HEALTH CENTER, P.A. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | SHARON |
| Authorized Official - Middle Name: | KAY |
| Authorized Official - Last Name: | MCCRAY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DC |
| Authorized Official - Phone: | 727-359-7603 |
| Mailing Address - Street 1: | 4916 POMPANO DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NEW PORT RICHEY |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 34652-4497 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 727-724-4288 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 35170 US HIGHWAY 19 N |
| Practice Address - Street 2: | |
| Practice Address - City: | PALM HARBOR |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 34684-1929 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 727-359-7603 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-10-05 |
| Last Update Date: | 2010-10-05 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | CH7848 | 111N00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |