National Provider Identifier Database

INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND 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 LAKELAND LLC
1205 EAST MAGNOLIA ST
SUITE 105
LAKELAND, FL33801
Phone: 863-272-7454
Fax: 863-272-7456
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND LLC

NPI Number 1669908836
Legal business name
LBN
INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND LLC
Authorized official MARC OTT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/10/2017
Last updated 05/10/2017 - About 9 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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