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SOUTHEASTERN INTEGRATED MEDICAL PL
NPI 1720419484
Physical Medicine & Rehabilitation - Pain Medicine in Chiefland, FL

Active since December 06, 2013
1315 NW 21ST AVE, SUITE 2, CHIEFLAND, FL 32626(352) 493-1741(352) 490-8641 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Integrated Medical Pl NPPES

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

SOUTHEASTERN INTEGRATED MEDICAL PL (NPI 1720419484) is a healthcare organization registered as a pain medicine in Chiefland, Florida and active in the NPI registry since December 2013. The organization lists Jesse A Libnick, Physician, as its authorized official.

NPPES Registry Identity

NPI1720419484
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameSOUTHEASTERN INTEGRATED MEDICAL PL
Location Address1315 NW 21ST AVE, SUITE 2Chiefland, FL 32626-1977
Mailing Address1315 Nw 21st Ave, Suite 2Chiefland, FL 32626-1977 · (352) 493-1741 · Fax (352) 490-8641
Phone(352) 493-1741
Fax(352) 490-8641
Organization SubpartYes
Authorized OfficialJesse A LibnickPhysician · (352) 493-1741
Enumeration DateDecember 6, 2013
✔ NPI 1720419484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in FL · ME68806
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
1315 NW 21ST AVE, Chiefland, FL 32626
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Other Identifiers 1

Medicaid058586600FL

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 16

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

CARMEN A. TOZZO PHD
Psychologist (Clinical)
1315 NW 21ST AVE, SUITE 2
CHIEFLAND, FL 32626
Levy County (352) 332-9441
MISS JENNIFER B. MARJAMA PA-C
Physician Assistant (Medical)
1315 NW 21ST AVE
CHIEFLAND, FL 32626
Levy County (352) 493-1655
VERA E BRECKEN-MARQUIS ARNP
Nurse Practitioner (Family)
1315 NW 21ST AVE
CHIEFLAND, FL 32626
Levy County (352) 490-5100
STACEY JONES MARLO PT
Physical Therapist
1315 NW 21ST AVE
CHIEFLAND, FL 32626
Levy County (352) 493-2999
NEW DAY WELLNESS, LLC
Occupational Therapist
1315 NW 21ST AVE, SUITE 3
CHIEFLAND, FL 32626
Levy County (352) 493-2999
MRS. IRIS ANNE SLEEP P.T.
Physical Therapist
1315 NW 21ST AVE, STE. 1
CHIEFLAND, FL 32626
Levy County (352) 493-2999
MS. JULIE VAUGHAN NOYES PTA
Physical Therapy Assistant
1315 NW 21ST AVE
CHIEFLAND, FL 32626
Levy County (352) 493-2122
JENNIFER S EDWARDS P.T.A.
Physical Therapy Assistant
1315 NW 21ST AVE, SUITE 3
CHIEFLAND, FL 32626
Levy County (352) 493-2999

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 Southeastern Integrated Medical Pl's NPI number?

The NPI number for Southeastern Integrated Medical Pl is 1720419484. It was assigned to this organization in the NPPES registry on December 6, 2013.

Where is Southeastern Integrated Medical Pl located?

Southeastern Integrated Medical Pl is located at 1315 NW 21st Ave Suite 2, Chiefland, FL 32626. The listed phone number is (352) 493-1741.

What is Southeastern Integrated Medical Pl's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Southeastern Integrated Medical Pl was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.