MEDICARE: 'OHANA HOLISTIC PRACTICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP3489	FL

General Provider Information

NPI Number	:	1316487069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	'OHANA HOLISTIC PRACTICE

Provider Business Mailing Address
First Line	:	7808 MARBELLA CREEK AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1234
Country	:	US
Telephone Number	:	813-352-8501
Fax Number	:

Provider Business Practice Location Address
First Line	:	7808 MARBELLA CREEK AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1234
Country	:	US
Telephone Number	:	813-352-8501
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURE PHYSICIAN
Name	:	MRS. JENNIFER MOLINARES-ARANGO
Credential	:	A.P
Telephone Number	:	813-352-8501

Provider Enumeration Date	:	02/28/2017
Last Update Date	:	02/28/2017

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Directions to “'OHANA HOLISTIC PRACTICE ” Practice Location

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