# ADVANCED INTEGRATIVE MEDICAL THERAPIES, LLC

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

## Provider details

- **NPI number:** 1316352321
- **Authorized official:** DR. VICTORIA R MILLER DOM (PRESIDENT)
- **Authorized official phone:** (352) 383-0004

## Contact information

- **Practice address:** 428 E 5TH AVE, MOUNT DORA, FL 32757-5663
- **Practice address phone:** (352) 383-0004
- **Practice address fax:** (352) 735-8637
- **Mailing address:** 428 E 5TH AVE, MOUNT DORA, FL 32757-5663
- **Mailing address phone:** (352) 383-0004
- **Mailing address fax:** (352) 735-8637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 1397 | FL | Yes |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 06/27/2014
