| Integrative Medicine Healing Center | |
|
5771 Roosevelt Blvd Suite 300 Clearwater FL 33760-3407 | |
| (727) 524-0900 | |
| (727) 507-8822 |
| Full Name | Integrative Medicine Healing Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 5771 Roosevelt Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Karen Lisa Mutter (PRESIDENT) |
| Authorized Official Contact | 7275240900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medicine Healing Center 5771 Roosevelt Blvd Suite 300 Clearwater FL 33760-3407 Ph: (727) 524-0900 | Integrative Medicine Healing Center 5771 Roosevelt Blvd Suite 300 Clearwater FL 33760-3407 Ph: (727) 524-0900 |
| NPI Number | 1831492339 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 12/06/2010 |
| Medicare PECOS PAC ID | 3476735093 |
|---|---|
| Medicare Enrollment ID | O20110303000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831492339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS 6328 (Florida) | Primary |
| Provider Name | Karen L Mutter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265470892 PECOS PAC ID: 8820270440 Enrollment ID: I20110303000085 |
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