Provider Demographics
NPI:1154600153
Name:B-ALTERNATIVE
Entity type:Organization
Organization Name:B-ALTERNATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CABEZA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-318-2652
Mailing Address - Street 1:175 SW 7TH ST
Mailing Address - Street 2:SUITE 1616
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2992
Mailing Address - Country:US
Mailing Address - Phone:305-318-2652
Mailing Address - Fax:
Practice Address - Street 1:175 SW 7TH ST
Practice Address - Street 2:SUITE 1616
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2992
Practice Address - Country:US
Practice Address - Phone:305-318-2652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2685171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty