INTEGRATIVE MODALITY INC NPI 1700204302

NPI Information

  • NPI: 1700204302
  • Provider Name: INTEGRATIVE MODALITY, INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 12555 ORANGE DR
    #4079
    DAVIE, FL
    ZIP 33330
  • Phone: (954) 862-1720

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NPI Details

INTEGRATIVE MODALITY, INC is a pharmacy in Davie, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. INTEGRATIVE MODALITY, INC NPI is 1700204302. The provider is registered as an organization entity type.

The provider's business location address is:

12555 ORANGE DR
#4079
DAVIE, FL
ZIP 33330-304
Phone: (954) 862-1720

The provider's authorized official is Lorraine D Jackson .
The authorized official title is Director and has the following contact phone number (954) 816-6703.

The enumeration date for this NPI number is 4/1/2014 and was last updated on 4/1/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy28002FLORIDAYes

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: 11/21/2025

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