Organization · Type 2 NPI

Integrative Medical Group, Usa, LLC

Primary Care Clinic/Center · Ponte Vedra Beach, FL

NPI number 1144628439 Active

Practice location

1102 A1A North, Suite 104
Ponte Vedra Beach, FL 32082

Fax (904) 273-6532

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

About NPI 1144628439

Integrative Medical Group, Usa, LLC's National Provider Identifier is 1144628439, issued on Dec 18, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Dec 18, 2014.