Organization · NPI-2
Advanced Integrative Medicine & Associates, LLC
Internal Medicine · Ft Lauderdale, FL
NPI number1790184240
StatusActive
Last updated in NPPESAug 21, 2014
Details
- NPI
- 1790184240
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Integrative Medicine & Associates, LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2014
- Last updated
- Aug 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | FL | Yes |
| 111NS0005X | Chiropractor, Sports Physician | – | FL |
Practice location
800 E Cypress Creek RdSuite 203
Ft Lauderdale, FL 33334-3522
Phone 954-870-7878
Mailing address
800 E Cypress Creek RdSuite 203
Ft Lauderdale, FL 33334-3522
Phone 954-870-7878
Authorized official
Lazaro Perez
Office Manager
9548707878
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