Organization · Type 2 NPI

Integrative Physical Medicine of Mount Dora LLC

Specialist · Eustis, FL

NPI number 1104223916 Active

Practice location

2818 S Bay St
Eustis, FL 32726

Call (352) 561-2361 Map

Fax (352) 561-2363

Other practice locations

6909 Old Highway 441, Mount Dora, FL 32757 · (352) 561-2361

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Eustis

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NPI record

NPI: 1104223916
Entity type: Organization (Type 2)
Issued: Nov 21, 2014
Last updated: Sep 28, 2018
Status: Active
Subpart: Yes of Integrative Physical Medicine Holding LLC

Other names

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Integrative Physical Medicine · doing business as
Integrative Physical Medicine · doing business as

Authorized official

Bret Scheuplein
Owner
(352) 561-2361

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104223916

Integrative Physical Medicine of Mount Dora LLC's National Provider Identifier is 1104223916, issued on Nov 21, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Eustis, FL. The record was last updated on Sep 28, 2018.