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INTEGRATIVE HEALTHCARE OF SOUTH FLORIDA NPI 1407343015


NPI Information

NPI: 1407343015
Provider Name: INTEGRATIVE HEALTHCARE OF SOUTH FLORIDA

Doing Business As: INTERGRATIVE HEALTH CARE OF SOUTH FLORIDA

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 10D2179115

Address:
1880 E COMMERCIAL BLVD STE 3
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 938-8998
Get Directions

INTEGRATIVE HEALTHCARE OF SOUTH FLORIDA is a geriatric medicine internal medicine in Fort Lauderdale, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. INTEGRATIVE HEALTHCARE OF SOUTH FLORIDA NPI is 1407343015. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Intergrative Health Care Of South Florida.

The provider's business location address is:

1880 E COMMERCIAL BLVD STE 3
FORT LAUDERDALE, FL
ZIP 33308-747
Phone: (954) 938-8998
Fax: (954) 901-2838

The provider's authorized official is Dinh Pham .
The authorized official title is Owner/medical Doctor and has the following contact phone number (954) 650-7662.

The CLIA number assigned to this NPI record is 10D2179115 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 6/23/2019.


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
1207RG0300XInternal MedicineGeriatric MedicineME82117FLORIDAYes

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: 11/14/2023

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