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Contact Information

INTEGRAVITA WELLNESS, LLC
1127 FORDING ISLAND RD STE 102
BLUFFTON, SC29910-6506
 Phone: 843-962-6855
 Fax: 843-962-6268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Infusion Therapy

261QI0500X
Indicates primary specialty

NPI Profile & details for INTEGRAVITA WELLNESS, LLC

NPI Number 1568183069
LBN Legal business name INTEGRAVITA WELLNESS, LLC
Authorized official BRADLEY MORRIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2022
Last updated 09/05/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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