Healthcare Provider Details

I. General information

NPI: 1720111925
Provider Name (Legal Business Name): ALTERNATIVE HEALTH & HEALING CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 111TH AVE N STE 1-2
NAPLES FL
34108-1829
US

IV. Provider business mailing address

860 111TH AVE N STE 1-2
NAPLES FL
34108-1829
US

V. Phone/Fax

Practice location:
  • Phone: 239-592-7767
  • Fax:
Mailing address:
  • Phone: 239-592-7767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 4726
License Number StateFL

VIII. Authorized Official

Name: DR. PAUL F FINUCAN
Title or Position: VICE PRESIDENT
Credential: D.C.
Phone: 239-592-7767