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

Address
1343 S INTERNATIONAL PKWY
State
Florida
ZIP Code
32746-1401
Phone
(407) 792-0705

Authorized Official

Name
MARC OTT
Title
PRESIDENT
Phone
(407) 792-0705

Specialties & Taxonomy Codes

Specialty
Specialist

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