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INTEGRATIVE PHYSICAL MEDICINE OF LAKE MARY LLC
NPI 1043637861
Specialist in Lake Mary, FL

Active since March 19, 2014
1343 S INTERNATIONAL PKWY, LAKE MARY, FL 32746(407) 792-0705(407) 792-0710 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrative Physical Medicine Of Lake Mary Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE PHYSICAL MEDICINE OF LAKE MARY LLC (NPI 1043637861) is a healthcare organization registered as a specialist in Lake Mary, Florida and active in the NPI registry since March 2014. The organization lists Marc Ott, President, as its authorized official.

NPPES Registry Identity

NPI1043637861
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTEGRATIVE PHYSICAL MEDICINE OF LAKE MARY LLC
Location Address1343 S INTERNATIONAL PKWYLake Mary, FL 32746-1401
Mailing Address1343 S International PkwyLake Mary, FL 32746-1401 · (407) 792-0705 · Fax (407) 792-0710
Phone(407) 792-0705
Fax(407) 792-0710
Organization SubpartYesParent: Integrative Physical Medicine Holding Llc
Authorized OfficialMarc OttPresident · (407) 792-0705
Enumeration DateMarch 19, 2014
Last NPPES UpdateJune 1, 2016
✔ NPI 1043637861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1343 S INTERNATIONAL PKWY, Lake Mary, FL 32746
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Other Identifiers 2

Medicare NSC6726960001
Medicare PINGV478A

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHROW IMAGING LLC
Clinic/Center (Radiology)
1343 S INTERNATIONAL PKWY, SUITE 1351 BLDG 3
LAKE MARY, FL 32746
Seminole County (407) 333-4464
DR. CARLIE DANIELLE BRUSH D.C.
Chiropractor
1343 S INTERNATIONAL PKWY
LAKE MARY, FL 32746
Seminole County (407) 792-0705
INTEGRATIVE PHYSICAL MEDICINE OF LAKE MARY LLC
Specialist
1343 S INTERNATIONAL PKWY, SUITE 1351-B
LAKE MARY, FL 32746
Seminole County (407) 792-0705
DR. TREVOR RICHARD LAUFFER DC
Chiropractor
1343 S INTERNATIONAL PKWY
LAKE MARY, FL 32746
Seminole County (407) 792-0705
CENTRAL FLORIDA IMAGING, LLC.
Radiology (Diagnostic Radiology)
1343 S INTERNATIONAL PKWY
LAKE MARY, FL 32746
Seminole County (407) 961-7250
DR. SYDNEY GOODIJOHN
Chiropractor
1343 S INTERNATIONAL PKWY
LAKE MARY, FL 32746
Seminole County (407) 792-0705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Physical Medicine Of Lake Mary LLC's NPI number?

The NPI number for Integrative Physical Medicine Of Lake Mary LLC is 1043637861. It was assigned to this organization in the NPPES registry on March 19, 2014.

Where is Integrative Physical Medicine Of Lake Mary LLC located?

Integrative Physical Medicine Of Lake Mary LLC is located at 1343 S International Pkwy, Lake Mary, FL 32746. The listed phone number is (407) 792-0705.

What is Integrative Physical Medicine Of Lake Mary LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Integrative Physical Medicine Of Lake Mary LLC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.