Family Integrative Medicine , LLC
Physical Medicine & Rehabilitation in Orlando, FL. Organization (NPI-2).
NPI number1609597301
StatusActive
Last updated in NPPESSep 9, 2022
Details
- NPI
- 1609597301
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Integrative Medicine , LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2022
- Certification date
- Sep 9, 2022
- Last updated
- Sep 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
11251 S Orange Blossom Trl Ste 102Orlando, FL 32837-9297
Phone 407-501-6841 · Fax 407-542-2243
Mailing address
11251 S Orange Blossom Trl Ste 101Orlando, FL 32837-9297
Phone 407-501-6841 · Fax 407-542-2243
Authorized official
Heriberto L. Rivera
Co-Owner
4072883371
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