Provider Demographics
NPI:1386170090
Name:CENTERS FOR INTEGRATIVE MEDICINE AND HEALING
Entity type:Organization
Organization Name:CENTERS FOR INTEGRATIVE MEDICINE AND HEALING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TADEUSZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SZTYKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:727-202-2302
Mailing Address - Street 1:1000 S FORT HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3906
Mailing Address - Country:US
Mailing Address - Phone:727-202-2302
Mailing Address - Fax:727-216-3180
Practice Address - Street 1:1000 S FORT HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3906
Practice Address - Country:US
Practice Address - Phone:727-202-2302
Practice Address - Fax:727-216-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty