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INTEGRATIVE HEALTH CENTER NPI 1871615682


NPI Information

NPI: 1871615682
Provider Name: INTEGRATIVE HEALTH CENTER
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
13155 SW 42ND STREET
SUIT 111 112
MIAMI, FL
ZIP 33175
Phone: (305) 559-7063
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INTEGRATIVE HEALTH CENTER is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INTEGRATIVE HEALTH CENTER NPI is 1871615682. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13155 SW 42ND STREET
SUIT 111 112
MIAMI, FL
ZIP 33175-428
Phone: (305) 559-7063
Fax: (305) 559-7839

The provider's authorized official is Isabel Altagracia Ferreira .
The authorized official title is Pediatrician Medical Director and has the following contact phone number (305) 559-7063.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 2/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME57254FLORIDANo
2208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009723000MEDICAIDFLORIDA
223913MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3051410100MEDICAIDFLORIDA
4E19766MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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