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Organization
INTEGRA CONCIERGE MEDICINE
Active
Organization
INTEGRA CONCIERGE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BUSSE MD (CEO)
(904) 619-3609
Entity
Organization
Contact information
Practice address
10175 FORTUNE PKWY UNIT 204, JACKSONVILLE, FL 32256-6748
(904) 619-3609
(904) 900-2225
Mailing address
10175 FORTUNE PKWY UNIT 204, JACKSONVILLE, FL 32256-6748
(904) 619-3609
(904) 900-2225
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
08/04/2026
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