Provider Demographics
NPI:1649793753
Name:THE CENTER FOR NATURAL HEALING OF SOUTHWEST FLORIDA
Entity type:Organization
Organization Name:THE CENTER FOR NATURAL HEALING OF SOUTHWEST FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NONEEN
Authorized Official - Middle Name:JO
Authorized Official - Last Name:O'RAFFERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-542-5600
Mailing Address - Street 1:4632 VINCENNES BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9105
Mailing Address - Country:US
Mailing Address - Phone:239-542-5600
Mailing Address - Fax:
Practice Address - Street 1:4632 VINCENNES BLVD STE 104
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9105
Practice Address - Country:US
Practice Address - Phone:239-542-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty