| Integrative Medical Care | |
|
1300 36th St Ste 1a Vero Beach FL 32960-4898 | |
| (772) 925-8230 | |
| (772) 925-8235 |
| Full Name | Integrative Medical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 36th St Ste 1a, Vero Beach, Florida |
| Authorized Official Name and Position | Lorena A Heredia (MANAGER) |
| Authorized Official Contact | 3475479133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medical Care 1300 36th St Ste 1a Vero Beach FL 32960-4898 Ph: (772) 925-8230 | Integrative Medical Care 1300 36th St Ste 1a Vero Beach FL 32960-4898 Ph: (772) 925-8230 |
| NPI Number | 1225504517 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 9234477258 |
|---|---|
| Medicare Enrollment ID | O20190215001796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225504517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Federico Mariano Canavosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679721393 PECOS PAC ID: 4587801576 Enrollment ID: I20130510000434 |
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