# INTEGRATIVE HEALTH OF TAMPA, LLC

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

## Provider details

- **NPI number:** 1154624385
- **Authorized official:** JONATHAN BERNS (CEO)
- **Authorized official phone:** (813) 929-3700

## Contact information

- **Practice address:** 1722 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-8640
- **Practice address phone:** (813) 929-3700
- **Practice address fax:** (813) 929-3711
- **Mailing address:** 1722 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-8640
- **Mailing address phone:** (813) 929-3700
- **Mailing address fax:** (813) 929-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH8992 | FL | — |
| 207R00000X | Internal Medicine Physician | OS11335 | FL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS11335 | FL | Yes |

## Other

- **Enumeration date:** 12/09/2010
- **Last updated:** 11/29/2011