MEDICARE: ALTERNATIVE INTEGRATED HEALTH OPTIONS INC

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	363L00000X	Nurse Practitioner	ARNP3085972	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992984769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE INTEGRATED HEALTH OPTIONS INC

Provider Business Mailing Address
First Line	:	2155 NE MIAMI GARDENS DR
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5051
Country	:	US
Telephone Number	:	788-436-7122
Fax Number	:	305-937-2361

Provider Business Practice Location Address
First Line	:	2155 NE MIAMI GARDENS DR
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5051
Country	:	US
Telephone Number	:	788-436-7122
Fax Number	:	305-937-2361

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MARLENE CESAR
Credential	:	ARNP
Telephone Number	:	786-436-7122

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	03/15/2010

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