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Organization
INTEGRATIVE CARE SPECIALISTS LLC
Active
Organization
INTEGRATIVE CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GANPAT MD (PHYSICIAN)
(407) 601-1370
Entity
Organization
Contact information
Practice address
425 W COLONIAL DR STE 302, ORLANDO, FL 32804-6863
(407) 601-1370
Mailing address
425 W COLONIAL DR STE 302, ORLANDO, FL 32804-6863
(407) 601-1370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
11/07/2019
Last updated
12/05/2019
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