# INTEGRATIVE PRIMARY CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073137204
- **Authorized official:** DR. VEACESLAV VLAS DOM (PRESIDENT)
- **Authorized official phone:** (408) 832-3124

## Contact information

- **Practice address:** 14471 S DIXIE HWY, MIAMI, FL 33176-7924
- **Practice address phone:** (408) 832-3124
- **Mailing address:** 14903 SW 177TH TER, MIAMI, FL 33187-6828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2020
- **Last updated:** 06/03/2020
