Organization
INTEGRATIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL ALTAGRACIA FERREIRA MD (PEDIATRICIAN MEDICAL DIRECTOR)
(305) 559-7063
Entity
Organization
Contact information
Practice address
13155 SW 42ND STREET, SUIT 111 112, MIAMI, FL 33175-3428
(305) 559-7063
(305) 559-7839
Mailing address
13155 SW 42ND STREET, SUIT 111 112, MIAMI, FL 33175-3428
(305) 559-7063
(305) 559-7839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME57254
FL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009723000
—
FL
05
—
051410100
—
FL
Enumeration date
04/04/2007
Last updated
02/12/2014
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