Organization
ADVANCED INTERGRATED MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C ABRAHAM MD (OWNER)
(855) 421-2733
Entity
Organization
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(855) 421-2733
(813) 374-0491
Mailing address
PO BOX 320848, TAMPA, FL 33679-2848
(855) 421-2733
(321) 280-2479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME94672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274616600
—
FL
Enumeration date
06/28/2010
Last updated
08/27/2020
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