Organization
ALACHUA INTEGRATIVE MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CONCEICAO (OFFICE MANAGER)
(386) 418-1234
Entity
Organization
Contact information
Practice address
14804 NW 140TH ST, ALACHUA, FL 32615-6276
(386) 418-1234
(386) 418-8203
Mailing address
14804 NW 140TH ST, ALACHUA, FL 32615-6276
(386) 418-1234
(386) 418-8203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1557262
FL
Other
Enumeration date
09/19/2007
Last updated
09/27/2007
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