Organization
INTEGRATIVE PHYSICAL MEDICINE OF KISSIMMEE LLC.
Active
Parent organization
INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC
Other names
Integrative Physical Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC
Authorized official
DR. BRET GENTER SCHEUPLEIN DC (OWNER)
(407) 624-5808
Entity
Organization
Contact information
Practice address
222 BROADWAY, SUITE 202, KISSIMMEE, FL 34741-5781
(407) 624-5808
(407) 624-5803
Mailing address
222 BROADWAY, SUITE 202, KISSIMMEE, FL 34741-5781
(407) 624-5808
(407) 624-5803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
11/23/2015
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