Integrative Medical Group, Usa, Llc

NPI 1144628439 - Clinic/Center - 261QP2300X

NPI Details
NPI 1144628439
Enumeration Date 12/18/2014
Last Updated 12/18/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name AYLIN AYLIN
Position OWNER
Phone (904) 273-6533
Fax (904) 273-6532
Practice Location
1102 A1A NORTH
SUITE 104
PONTE VEDRA BEACH FL, 32082, US
Phone (904) 273-6533
Fax (904) 273-6532
Business Location
1102 A1A NORTH
SUITE 104
PONTE VEDRA BEACH FL, 32082, US
Phone (904) 273-6533
Fax (904) 273-6532
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1144628439 NPI Number
 

According to our database, Integrative Medical Group, Usa, Llc NPI is 1144628439, taxonomy code is 261QP2300X Integrative Medical Group, Usa, Llc physically located at 1102 A1a North, Ponte Vedra Beach FL, 32082. NPI Number 1033115704 has the healthcare provider type.

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1144628439 NPI number is provided on an as is basis without warranty of any kind. 1144628439 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medical Group, Usa, Llc are for informational purposes only.