Organization

Integrative And Restorative Medical Center

Acupuncturist in Port Charlotte, FL(View on Map)

Legal Business Name

Integrative And Restorative Medical Center

NPI Number

1093170391

NPI Type

Organization

Enumeration Date

12/31/2015

Specialties

(Taxonomies)

Code

171100000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

AP 3370

Contact
Information

Purpose

Mailing
Location

Address

1720 EL JOBEAN RD
1720 EL JOBEAN RD

City

Port Charlotte
Port Charlotte

State

FL
FL

Postal Code

33948-1261
33948-1261

Country

US
US

Telephone Number

(941) 979-6509
(941) 979-6509

Authorized Official

Name

Dr. Misha Payant

Title or Position

OWNER

Telephone Number

(941) 979-6509

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/31/2015

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