Organization
INTEGRATIVE AND RESTORATIVE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISHA JOSEF PAYANT DAOM (OWNER)
(941) 979-6509
Entity
Organization
Contact information
Practice address
1720 EL JOBEAN RD, SUITE 108, PORT CHARLOTTE, FL 33948-1261
(941) 979-6509
Mailing address
1720 EL JOBEAN RD, SUITE 108, PORT CHARLOTTE, FL 33948-1261
(941) 979-6509
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 3370
FL
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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