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Organization
FAMILY INTEGRATIVE MEDICINE , LLC
Active
Organization
FAMILY INTEGRATIVE MEDICINE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERIBERTO L. RIVERA (CO-OWNER)
(407) 288-3371
Entity
Organization
Contact information
Practice address
11251 S ORANGE BLOSSOM TRL STE 102, ORLANDO, FL 32837-9297
(407) 501-6841
(407) 542-2243
Mailing address
11251 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL 32837-9297
(407) 501-6841
(407) 542-2243
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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