Integrative Physical Medicine of Lake Mary LLC
NPI #1043637861 in Lake Mary, Florida
Provider Information
- NPI Number
- 1043637861
- Entity Type
- Organization
- Organization Name
- Integrative Physical Medicine of Lake Mary LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 19, 2014
- Last Updated
- Jun 1, 2016
Practice Location
Authorized Official
- Name
- MARC OTT
- Title
- PRESIDENT
- Phone
- (407) 792-0705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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| Ramit Panara, M.D. | |
| DR. Jay C Gold, M.D. |
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