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Organization
INTEGRATED HEALTHPROMOTION
Active
Organization
INTEGRATED HEALTHPROMOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATYA VICTORIA RIDORE FNP (OWNER)
(914) 340-3084
Entity
Organization
Contact information
Practice address
118 W STATE ROAD 434, WINTER SPRINGS, FL 32708-2551
(914) 340-3084
Mailing address
1320 ORTEGA ST, WINTER SPRINGS, FL 32708-4807
(914) 340-3084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112849800
—
FL
01
—
OQ279
HF MEDICARE
FL
Enumeration date
04/27/2021
Last updated
09/30/2025
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