Provider Demographics
NPI:1427432400
Name:NATURAL MEDICINE
Entity type:Organization
Organization Name:NATURAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GREIG
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:954-525-4878
Mailing Address - Street 1:1229 NE 17TH WAY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2433
Mailing Address - Country:US
Mailing Address - Phone:954-525-4878
Mailing Address - Fax:
Practice Address - Street 1:717 SE 2ND ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3639
Practice Address - Country:US
Practice Address - Phone:954-525-4878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-19
Last Update Date:2015-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1021171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty