Integrative Physical Medicine Of Mount Dora Llc

NPI 1104223916 - Specialist - 174400000X

NPI Details
NPI 1104223916
Enumeration Date 11/21/2014
Last Updated 11/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRET BRET
Position OWNER
Phone (352) 561-2361
Fax (352) 561-2363
Practice Location
6909 OLD HIGHWAY 441
MOUNT DORA FL, 32757, US
Phone (352) 561-2361
Fax (352) 561-2363
Business Location
6909 OLD HIGHWAY 441
MOUNT DORA FL, 32757, US
Phone (352) 561-2361
Fax (352) 561-2363
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Integrative Physical Medicine Of Mount Dora Llc NPI is 1104223916, taxonomy code is 174400000X Integrative Physical Medicine Of Mount Dora Llc physically located at 6909 Old Highway 441, Mount Dora FL, 32757. NPI Number 1033115704 has the healthcare provider type.

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1104223916 NPI number is provided on an as is basis without warranty of any kind. 1104223916 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Physical Medicine Of Mount Dora Llc are for informational purposes only.