Organization
INTEGRATED HEALING CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER FADDA AP (OWNER)
(813) 402-2832
Entity
Organization
Contact information
Practice address
10549 N FLORIDA AVE, SUITE I, TAMPA, FL 33612-6707
(813) 402-2832
(813) 402-2833
Mailing address
10549 N FLORIDA AVE, SUITE I, TAMPA, FL 33612-6707
(813) 402-2832
(813) 402-2833
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/22/2010
Last updated
02/06/2013
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