Provider Demographics
NPI:1578636148
Name:ALL NATURAL HEALTH SERVICES
Entity Type:Organization
Organization Name:ALL NATURAL HEALTH SERVICES
Other - Org Name:ALL NATURAL HEALTH SEVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DEBIASIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:561-541-1042
Mailing Address - Street 1:3750 W 16TH AVE STE 236U
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4665
Mailing Address - Country:US
Mailing Address - Phone:561-541-1042
Mailing Address - Fax:
Practice Address - Street 1:3750 W 16TH AVE STE 236U
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4665
Practice Address - Country:US
Practice Address - Phone:561-541-1042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5388261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC5388OtherCLINIC