Organization
INTEGRATIVE PHYSICAL MEDICINE OF MOUNT DORA LLC
Active
Parent organization
INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC
Other names
Integrative Physical Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC
Authorized official
BRET SCHEUPLEIN (OWNER)
(352) 561-2361
Entity
Organization
Contact information
Practice address
2818 S BAY ST, EUSTIS, FL 32726
(352) 561-2361
(352) 561-2363
Mailing address
2818 S BAY ST, EUSTIS, FL 32726-6537
(352) 561-2361
(352) 561-2363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
09/28/2018
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