Organization

Integrative Physical Medicine Of Lake Mary Llc

Specialist in Lake Mary, FL(View on Map)

Legal Business Name

Integrative Physical Medicine Of Lake Mary Llc

NPI Number

1043637861

NPI Type

Organization

Enumeration Date

03/19/2014

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1343 S INTERNATIONAL PKWY
1343 S INTERNATIONAL PKWY

City

Lake Mary
Lake Mary

State

FL
FL

Postal Code

32746-1401
32746-1401

Country

US
US

Telephone Number

(407) 792-0705
(407) 792-0705

Authorized Official

Name

Marc Ott

Title or Position

PRESIDENT

Telephone Number

(407) 792-0705

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

Data last updated by provider on 06/01/2016

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