Provider Demographics
NPI:1275920100
Name:ALPHA OMEGA HOLISTIC MEDICINE CORP.
Entity Type:Organization
Organization Name:ALPHA OMEGA HOLISTIC MEDICINE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODIS
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-260-2704
Mailing Address - Street 1:12864 BISCAYNE BLVD
Mailing Address - Street 2:#162
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2007
Mailing Address - Country:US
Mailing Address - Phone:954-260-2704
Mailing Address - Fax:
Practice Address - Street 1:3854 SHERIDAN ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3630
Practice Address - Country:US
Practice Address - Phone:954-260-2704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty