Organization
INTEGRATED MEDICINE OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS THELUSMA (VICE PRESIDENT)
(305) 979-3770
Entity
Organization
Contact information
Practice address
714 NW 62ND ST, MIAMI, FL 33150-4332
(305) 979-3770
Mailing address
714 N W 62ND STREET, MIAMI, FL 33150
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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