Organization
INTEGRA PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX DANIEL ALICEA-GONZALEZ (MGRM)
(786) 488-3410
Entity
Organization
Contact information
Practice address
6495 TAFT ST, HOLLYWOOD, FL 33024-4110
(786) 488-3410
Mailing address
6495 TAFT ST, HOLLYWOOD, FL 33024-4110
(786) 488-3410
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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