Integrative Physical Medicine of Mount Dora LLC

NPI #1104223916 in Eustis, Florida

Provider Information

NPI Number: 1104223916
Entity Type: Organization
Organization Name: Integrative Physical Medicine of Mount Dora LLC
Subpart: Yes (part of a larger organization)
Parent Organization: INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC
Primary Specialty: Specialist
Enumeration Date: Nov 21, 2014
Last Updated: Sep 28, 2018

Practice Location

Address: 2818 S BAY ST
City: Eustis
State: Florida
ZIP Code: 32726
Phone: (352) 561-2361

Authorized Official

Name: BRET SCHEUPLEIN
Title: OWNER
Phone: (352) 561-2361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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