Organization
FAMILY INTEGRATIVE MEDICINE OF ORLANDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERIBERTO LUIS RIVERA (CO-OWNER)
(407) 288-3371
Entity
Organization
Contact information
Practice address
11301 S ORANGE BLOSSOM TRL STE A208, ORLANDO, FL 32837
(407) 751-2192
Mailing address
6518 CICERO LN, ORLANDO, FL 32809-5911
(407) 288-3371
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
48-641825503
FL
Other
Enumeration date
06/16/2018
Last updated
09/09/2022
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