INTEGRATIVE PHYSICAL MEDICINE OF DEBARY LLC NPI 1912392259

NPI Information

INTEGRATIVE PHYSICAL MEDICINE OF DEBARY, LLC is a specialist in Debary, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTEGRATIVE PHYSICAL MEDICINE OF DEBARY, LLC NPI is 1912392259. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Integrative Physical Medicine.

The provider's business location address is:

110 POND COURT
SUITE 300
DEBARY, FL
ZIP 32713
Phone: (386) 753-7180
Fax: (386) 753-7185

The provider's authorized official is Marc Ott .
The authorized official title is President / Owner and has the following contact phone number (407) 488-3751.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 4/3/2015.

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:

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