Provider Demographics
NPI:1083735880
Name:ACUNIQUE ALTERNATIVE, P.A.
Entity Type:Organization
Organization Name:ACUNIQUE ALTERNATIVE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:GUNDEN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:727-667-0370
Mailing Address - Street 1:1891 DREW ST.
Mailing Address - Street 2:C
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2914
Mailing Address - Country:US
Mailing Address - Phone:727-667-0370
Mailing Address - Fax:727-239-0610
Practice Address - Street 1:1891 DREW STREET
Practice Address - Street 2:UNIT C
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2914
Practice Address - Country:US
Practice Address - Phone:727-667-0370
Practice Address - Fax:727-239-0610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1882171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC002EOtherBCBS