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Organization

INTEGRATIVE PHYSICAL MEDICINE OF DEBARY, 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
MARC OTT (PRESIDENT / OWNER)
(407) 488-3751
Entity
Organization

Contact information

Practice address
110 POND COURT, SUITE 300, DEBARY, FL 32713
(386) 753-7180
(386) 753-7185
Mailing address
110 POND COURT, SUITE 300, DEBARY, FL 32713
(386) 753-7180
(386) 753-7185

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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