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INTEGRATIVE PHYSICAL MEDICINE
NPI 1104223916
Specialist in Eustis, FL

Active since November 21, 2014
2818 S BAY ST, EUSTIS, FL 32726(352) 561-2361(352) 561-2363 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2018, Nov 17, 2016 (2 updates tracked since 2016).

About Integrative Physical Medicine NPPES

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

INTEGRATIVE PHYSICAL MEDICINE (NPI 1104223916) is a healthcare organization registered as a specialist in Eustis, Florida and active in the NPI registry since November 2014. The organization maintains a secondary practice location in Mount Dora and lists Bret Scheuplein, Owner, as its authorized official.

NPPES Registry Identity

NPI1104223916
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTEGRATIVE PHYSICAL MEDICINE OF MOUNT DORA LLC
Location Address2818 S BAY STEustis, FL 32726
Mailing Address2818 S Bay StEustis, FL 32726-6537 · (352) 561-2361 · Fax (352) 561-2363
Phone(352) 561-2361
Fax(352) 561-2363
Organization SubpartYesParent: Integrative Physical Medicine Holding Llc
Authorized OfficialBret ScheupleinOwner · (352) 561-2361
Enumeration DateNovember 21, 2014
Last NPPES UpdateSeptember 28, 20182 updates tracked since enumeration
✔ NPI 1104223916 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.
2818 S BAY ST, Eustis, FL 32726
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Other Names 1

Doing Business AsIntegrative Physical Medicine

Secondary Practice Location 1

Location 16909 Old Highway 441Mount Dora, FL 32757 · Phone (352) 561-2361 · Fax (352) 561-2363

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

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

AARON SAKEVICH DC
Chiropractor (Rehabilitation)
2818 S BAY ST
EUSTIS, FL 32726
Lake County (407) 974-6556

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 Mount Dora LLC's NPI number?

The NPI number for Integrative Physical Medicine Of Mount Dora LLC is 1104223916. It was assigned to this organization in the NPPES registry on November 21, 2014. The provider is doing business as Integrative Physical Medicine.

Where is Integrative Physical Medicine Of Mount Dora LLC located?

Integrative Physical Medicine Of Mount Dora LLC is located at 2818 S Bay St, Eustis, FL 32726. The listed phone number is (352) 561-2361.

What is Integrative Physical Medicine Of Mount Dora 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 Mount Dora LLC was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.