National Provider Identifier Database

INTEGRATIVE PHYSICAL MEDICINE OF WINTER HAVEN LLC
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.


Contact Information

INTEGRATIVE PHYSICAL MEDICINE OF WINTER HAVEN LLC
7494 CYPRESS GARDENS BLVD
WINTER HAVEN, FL33884
Phone: 407-977-3434
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for INTEGRATIVE PHYSICAL MEDICINE OF WINTER HAVEN LLC

NPI Number 1346656345
Legal business name
LBN
INTEGRATIVE PHYSICAL MEDICINE OF WINTER HAVEN LLC
Authorized official MARC OTT - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 07/10/2014
Last updated 11/24/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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