American Integrative Health

Key facts

NPI

1336537331

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Physician 208D00000X

License

ME113826 (FL)

Legal business name

AMERICAN INTEGRATIVE HEALTH

Practice address

1001 S Fort Harrison Ave
Suite 200
Clearwater, FL 33756-3941

Phone

(727) 330-3844

Fax

(888) 349-9247

NPI assigned

Dec 30, 2014

Organization subpart

No

Authorized official

Name

Dr. Andreas Grossgold, M.D

Title

Medical Director

Phone

(727) 330-3844

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 30, 2014.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1336537331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S FORT HARRISON AVE",
            "address_2": "SUITE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563941",
            "telephone_number": "727-330-3844",
            "fax_number": "888-349-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S FORT HARRISON AVE",
            "address_2": "SUITE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563941",
            "telephone_number": "727-330-3844",
            "fax_number": "888-349-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "GROSSGOLD",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-330-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME113826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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