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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI Number 1346656345
LBN Legal business name INTEGRATIVE PHYSICAL MEDICINE OF WINTER HAVEN LLC
Authorized official MARC OTT - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/10/2014
Last updated 11/24/2014 - About 12 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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