Provider Demographics
NPI:1801472956
Name:ALTERNATIVE APPROACH HOLISTIC MEDICINE
Entity type:Organization
Organization Name:ALTERNATIVE APPROACH HOLISTIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEIDEL-ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:239-775-0212
Mailing Address - Street 1:801 ATTACHE CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2109
Mailing Address - Country:US
Mailing Address - Phone:239-775-0212
Mailing Address - Fax:813-435-3002
Practice Address - Street 1:217 CRYSTAL GROVE
Practice Address - Street 2:SAME BUILDING AS PEARL INSTITUTE FOR HEADACHE AND NEURO
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-3361
Practice Address - Country:US
Practice Address - Phone:239-775-0212
Practice Address - Fax:813-435-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
No273Y00000XHospital UnitsRehabilitation Unit