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Organization

INTEGRUM MEDICAL GROUP, LLC

Active
Parent organization
INTEGRUM HEALTHCARE CORPORATION
Other names
Integrum Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTEGRUM HEALTHCARE CORPORATION
Authorized official
MR. RAUL A GONZALEZ (MANAGING PARTNER)
(786) 598-7004
Entity
Organization

Contact information

Practice address
8756 SW 72ND ST, MIAMI, FL 33173-3512
(786) 598-7004
(786) 598-7005
Mailing address
8756 SW 72ND ST, MIAMI, FL 33173-3512
(786) 384-1150

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
12/03/2018
Last updated
01/08/2026
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