| Integrative Medicine Of Lake Mary, Inc | |
|
2500 W Lake Mary Blvd Suite 109 Lake Mary FL 32746-3501 | |
| (407) 936-1700 | |
| (407) 936-1701 |
| Full Name | Integrative Medicine Of Lake Mary, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2500 W Lake Mary Blvd, Lake Mary, Florida |
| Authorized Official Name and Position | Ronald Lynch (OWNER) |
| Authorized Official Contact | 4079361700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medicine Of Lake Mary, Inc 2500 W Lake Mary Blvd Suite 109 Lake Mary FL 32746-3501 Ph: (407) 936-1700 | Integrative Medicine Of Lake Mary, Inc 2500 W Lake Mary Blvd Suite 109 Lake Mary FL 32746-3501 Ph: (407) 936-1700 |
| NPI Number | 1215076559 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215076559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0050990 (Florida) | Primary |
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