# INTEGRATIVE BIOREGULATORY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1912348582
- **Authorized official:** DR. CELESTINO LOPEZ AP (PRESIDENT)
- **Authorized official phone:** (786) 284-0117

## Contact information

- **Practice address:** 7480 FAIRWAY DR, SUITE 108, MIAMI LAKES, FL 33014-6879
- **Practice address phone:** (786) 284-0117
- **Mailing address:** 7480 FAIRWAY DR, SUITE 108, MIAMI LAKES, FL 33014-6879
- **Mailing address phone:** (786) 284-0117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP355 | FL | Yes |

## Other

- **Enumeration date:** 07/11/2013
- **Last updated:** 07/11/2013