Organization
THE INTEGRATIVE HEALTH SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS MORALES DOM (PRESIDENT)
(407) 346-7505
Entity
Organization
Contact information
Practice address
1119 MANN STREET, KISSIMMEE, FL 34741
(407) 344-5500
(407) 344-5503
Mailing address
1119 MANN STREET, KISSIMMEE, FL 34741
(407) 344-5500
(407) 344-5503
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
OS4187
FL
Other
Enumeration date
07/13/2007
Last updated
08/30/2012
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