Organization
INTEGRATEDEM1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JACKSON (AUTHORIZED MEMBER)
(813) 746-3993
Entity
Organization
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(325) 351-7200
Mailing address
PO BOX 671457, DALLAS, TX 75267-1457
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
04/06/2021
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