Organization
ACUTE INTEGRATIVE MEDICAL THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA REGINA MILLER A.P. (OWNER)
(352) 383-0004
Entity
Organization
Contact information
Practice address
428 E 5TH AVE, MOUNT DORA, FL 32757-5663
(352) 383-0004
(352) 735-8637
Mailing address
428 E 5TH AVE, MOUNT DORA, FL 32757-5663
(352) 383-0004
(352) 735-8637
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
AP1376
FL
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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