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Organization
INTEGRATIVE AND RESTORATIVE MEDICAL CENTER
Active
Organization
INTEGRATIVE AND RESTORATIVE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISHA JOSEF PAYANT DAOM (OWNER)
(941) 979-6509
Entity
Organization
Contact information
Practice address
1720 EL JOBEAN RD, SUITE 108, PORT CHARLOTTE, FL 33948-1261
(941) 979-6509
Mailing address
1720 EL JOBEAN RD, SUITE 108, PORT CHARLOTTE, FL 33948-1261
(941) 979-6509
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 3370
FL
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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