# INTEGRATIVE AND RESTORATIVE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1093170391
- **Authorized official:** DR. MISHA JOSEF PAYANT DAOM (OWNER)
- **Authorized official phone:** (941) 979-6509

## Contact information

- **Practice address:** 1720 EL JOBEAN RD, SUITE 108, PORT CHARLOTTE, FL 33948-1261
- **Practice address phone:** (941) 979-6509
- **Mailing address:** 1720 EL JOBEAN RD, SUITE 108, PORT CHARLOTTE, FL 33948-1261
- **Mailing address phone:** (941) 979-6509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP 3370 | FL | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015