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Organization

INTEGRA CONCIERGE MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL BUSSE MD (CEO)
(904) 619-3609
Entity
Organization

Contact information

Practice address
10175 FORTUNE PKWY UNIT 204, JACKSONVILLE, FL 32256-6748
(904) 619-3609
(904) 900-2225
Mailing address
10175 FORTUNE PKWY UNIT 204, JACKSONVILLE, FL 32256-6748
(904) 619-3609
(904) 900-2225

Taxonomy

Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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