Provider Demographics
NPI:1760401970
Name:FLORIDA INSTITUTE OF NATURAL HEALTH INC
Entity Type:Organization
Organization Name:FLORIDA INSTITUTE OF NATURAL HEALTH INC
Other - Org Name:TARPON CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BATTEN-LANGE
Authorized Official - Suffix:
Authorized Official - Credentials:BN DC
Authorized Official - Phone:727-934-6500
Mailing Address - Street 1:528 S PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689
Mailing Address - Country:US
Mailing Address - Phone:727-934-6500
Mailing Address - Fax:727-945-8374
Practice Address - Street 1:528 S PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689
Practice Address - Country:US
Practice Address - Phone:727-934-6500
Practice Address - Fax:727-945-8374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083802698OtherINDIVIDUAL NPI - ANNA M BATTEN-LANGE
FL382245100Medicaid
53999ZOtherINDIVIDUAL MEDICARE PTAN
53999OtherBLUE CROSS BLUE SHIELD ID
53999OtherBLUE CROSS BLUE SHIELD ID
FL382245100Medicaid