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
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None 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.