Provider Demographics
NPI:1801018049
Name:CENTRE FOR ALTERNATIVE MEDICINE, INC
Entity type:Organization
Organization Name:CENTRE FOR ALTERNATIVE MEDICINE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-657-2433
Mailing Address - Street 1:460 STATE ROAD 436
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-4970
Mailing Address - Country:US
Mailing Address - Phone:407-657-2433
Mailing Address - Fax:
Practice Address - Street 1:460 STATE ROAD 436
Practice Address - Street 2:SUITE 200
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-4970
Practice Address - Country:US
Practice Address - Phone:407-657-2433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6511Medicare ID - Type Unspecified
FLT87702Medicare UPIN