Integrative Medicine Of Lake Mary, Inc

NPI 1215076559 - Clinic/Center - 261Q00000X

NPI Details
NPI 1215076559
Enumeration Date 02/05/2007
Last Updated 08/24/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RONALD RONALD
Position OWNER
Phone (407) 936-1700
Fax (407) 936-1701
Practice Location
2500 W LAKE MARY BLVD
SUITE 109
LAKE MARY FL, 32746-3501, US
Phone (407) 936-1700
Fax (407) 936-1701
Business Location
2500 W LAKE MARY BLVD
SUITE 109
LAKE MARY FL, 32746-3501, US
Phone (407) 936-1700
Fax (407) 936-1701
Toxanomy
Taxonomy Code 261Q00000X
License State Florida
License Number 0050990
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According to our database, Integrative Medicine Of Lake Mary, Inc NPI is 1215076559, taxonomy code is 261Q00000X and license number is 0050990, license state is located at Florida. Integrative Medicine Of Lake Mary, Inc physically located at 2500 W Lake Mary Blvd, Lake Mary FL, 32746-3501. NPI Number 1033115704 has the healthcare provider type.

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1215076559 NPI number is provided on an as is basis without warranty of any kind. 1215076559 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medicine Of Lake Mary, Inc are for informational purposes only.