Organization
INTEGRATIVE HEALTH OF TAMPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BERNS (CEO)
(813) 929-3700
Entity
Organization
Contact information
Practice address
1722 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-8640
(813) 929-3700
(813) 929-3711
Mailing address
1722 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-8640
(813) 929-3700
(813) 929-3711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8992
FL
207R00000X
Internal Medicine Physician
OS11335
FL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS11335
FL
Other
Enumeration date
12/09/2010
Last updated
11/29/2011
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