Organization
ADVANCED HEALTHCARE ALTERNATIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANN MCREYNOLDS (PRESIDENT EXECUTIVE DIRECTOR)
(727) 849-2277
Entity
Organization
Contact information
Practice address
5404 MAIN ST, NEW PORT RICHEY, FL 34652-2503
(727) 849-2277
(727) 597-4789
Mailing address
5404 MAIN ST, NEW PORT RICHEY, FL 34652-2503
(727) 849-2277
(727) 597-4789
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC5540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC5540
HEALTHCARE CLINIC LICENSE
FL
01
—
MM11889
MASSAGE ESTABLISHMENT LIC
FL
Enumeration date
06/06/2007
Last updated
07/20/2007
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