Organization
INTEGRATED SPECIALTY ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SHUMAKE (COO)
(770) 810-3796
Entity
Organization
Contact information
Practice address
14400 NW 77TH CT STE 306, MIAMI LAKES, FL 33016-1592
(770) 810-3796
(770) 810-3789
Mailing address
14400 NW 77TH CT STE 301, MIAMI LAKES, FL 33016-1592
(770) 810-3796
(770) 810-3789
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
10/18/2025
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