Healthcare Provider Details

I. General information

NPI: 1609268325
Provider Name (Legal Business Name): CLINIC OF ALTERNATIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 DUCK AVE
KEY WEST FL
33040-4427
US

IV. Provider business mailing address

3420 DUCK AVE
KEY WEST FL
33040-4427
US

V. Phone/Fax

Practice location:
  • Phone: 305-296-5358
  • Fax: 305-293-1146
Mailing address:
  • Phone: 305-296-5358
  • Fax: 305-293-1146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY HOYT
Title or Position: OWNER
Credential: A.P., M.T.
Phone: 305-296-5358