# FAMILY INTEGRATIVE MEDICINE , LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1609597301
- **Authorized official:** HERIBERTO L. RIVERA (CO-OWNER)
- **Authorized official phone:** (407) 288-3371

## Contact information

- **Practice address:** 11251 S ORANGE BLOSSOM TRL STE 102, ORLANDO, FL 32837-9297
- **Practice address phone:** (407) 501-6841
- **Practice address fax:** (407) 542-2243
- **Mailing address:** 11251 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL 32837-9297
- **Mailing address phone:** (407) 501-6841
- **Mailing address fax:** (407) 542-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/09/2022
- **Last updated:** 09/09/2022