Organization
TAYLOR-MADE INTEGRATIVE HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HENDERSON (CREDENTIALING MANAGER)
(513) 685-0949
Entity
Organization
Contact information
Practice address
185 N HIGHWAY 27, SUITE A, CLERMONT, FL 34711-2400
(352) 989-5555
(352) 432-2121
Mailing address
185 N HIGHWAY 27, SUITE A, CLERMONT, FL 34711-2400
(352) 989-5555
(352) 432-2121
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/15/2016
Last updated
07/21/2016
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