Healthcare Provider Details

I. General information

NPI: 1891375424
Provider Name (Legal Business Name): INTEGRATIVE HEALING AT OM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4248 LAKE IN THE WOODS DR
SPRING HILL FL
34607-2501
US

IV. Provider business mailing address

4248 LAKE IN THE WOODS DR
SPRING HILL FL
34607-2501
US

V. Phone/Fax

Practice location:
  • Phone: 352-254-8090
  • Fax:
Mailing address:
  • Phone: 352-600-4242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA G SCUNZIANO-SINGH
Title or Position: MGR
Credential: MD
Phone: 352-600-4242