Integrative Physical Medicine of Debary, LLC

NPI #1912392259 in Debary, Florida

Provider Information

NPI Number
1912392259
Entity Type
Organization
Organization Name
Integrative Physical Medicine of Debary, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC
Primary Specialty
Specialist
Enumeration Date
Apr 3, 2015
Last Updated
Apr 3, 2015

Practice Location

Address
110 POND COURT
Address 2
SUITE 300
City
Debary
State
Florida
ZIP Code
32713
Phone
(386) 753-7180

Authorized Official

Name
MARC OTT
Title
PRESIDENT / OWNER
Phone
(407) 488-3751

Specialties & Taxonomy Codes

Specialty
Specialist

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