Provider Demographics
NPI:1154643864
Name:NATURAL HEALTHCARE CLINIC
Entity Type:Organization
Organization Name:NATURAL HEALTHCARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER-JOHN
Authorized Official - Middle Name:ASTON
Authorized Official - Last Name:RHODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-568-5252
Mailing Address - Street 1:2713 N. ANDREWS AVENUE
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33311
Mailing Address - Country:US
Mailing Address - Phone:954-568-5252
Mailing Address - Fax:954-568-6833
Practice Address - Street 1:2713 N. ANDREWS AVENUE
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311
Practice Address - Country:US
Practice Address - Phone:954-568-5252
Practice Address - Fax:954-568-6833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1048171100000X
FLMA11470225700000X
FLMA26581225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty