Provider Demographics
NPI:1073794830
Name:MUELLER INSTITUTE FOR HOLISTIC MEDICINE PLC
Entity Type:Organization
Organization Name:MUELLER INSTITUTE FOR HOLISTIC MEDICINE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-332-5703
Mailing Address - Street 1:251 MAITLAND AVE
Mailing Address - Street 2:STE. 104
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4914
Mailing Address - Country:US
Mailing Address - Phone:407-332-5703
Mailing Address - Fax:407-332-5744
Practice Address - Street 1:251 MAITLAND AVE
Practice Address - Street 2:STE. 104
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4914
Practice Address - Country:US
Practice Address - Phone:407-332-5703
Practice Address - Fax:407-332-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61985208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty