Organization
CLI INTEGRATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED JAMES MCCABE J.D., ESQUIRE (LEGAL COUNSEL)
(813) 489-9211
Entity
Organization
Contact information
Practice address
35190 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1929
(727) 748-9900
Mailing address
35190 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1929
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730325317
—
IL
Enumeration date
11/29/2018
Last updated
11/29/2018
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