Provider Demographics
NPI:1316487069
Name:'OHANA HOLISTIC PRACTICE
Entity type:Organization
Organization Name:'OHANA HOLISTIC PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINARES-ARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:813-352-8501
Mailing Address - Street 1:7808 MARBELLA CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-1234
Mailing Address - Country:US
Mailing Address - Phone:813-352-8501
Mailing Address - Fax:
Practice Address - Street 1:7808 MARBELLA CREEK AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-1234
Practice Address - Country:US
Practice Address - Phone:813-352-8501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3489171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty