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INDIVIDUALIZED MEDICINE, LLC
NPI 1962701722
Clinic/Center - Primary Care in Palatka, FL

Active since March 19, 2011
6100 SAINT JOHNS AVE, SUITE 4(D), PALATKA, FL 32177(386) 329-3939(386) 329-8990 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Individualized Medicine, Llc NPPES

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

INDIVIDUALIZED MEDICINE, LLC (NPI 1962701722) is a healthcare organization registered as a primary care in Palatka, Florida and active in the NPI registry since March 2011. The organization lists Larisa Malykh, Practice Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1962701722
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINDIVIDUALIZED MEDICINE, LLC
Location Address6100 SAINT JOHNS AVE, SUITE 4(D)Palatka, FL 32177-3844
Mailing AddressPo Box 100Elkton, FL 32033-0100 · (386) 329-3939 · Fax (386) 329-8990
Phone(386) 329-3939
Fax(386) 329-8990
Organization SubpartNo
Authorized OfficialLarisa MalykhPractice Owner/physician · (386) 329-3939
Enumeration DateMarch 19, 2011
Last NPPES UpdateMarch 26, 2012
✔ NPI 1962701722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
6100 SAINT JOHNS AVE, Palatka, FL 32177
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Other Identifiers 2

Medicare UPINH08673FL
Medicare PIN49324WFL

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 3

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

DR. LARISA MALYKH MD
Internal Medicine
6100 SAINT JOHNS AVE, SUITE 4(D)
PALATKA, FL 32177
Putnam County (386) 329-3939
JACK H SOLIMAN MD PA
Exclusive Provider Organization
6100 SAINT JOHNS AVE, SUITE 1
PALATKA, FL 32177
Putnam County (386) 328-1117
FIRST COAST OBSTETRICS AND GYNECOLOGY PA
Obstetrics & Gynecology
6100 SAINT JOHNS AVE, SUITE 6
PALATKA, FL 32177
Putnam County (386) 325-5699

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 Individualized Medicine, LLC's NPI number?

The NPI number for Individualized Medicine, LLC is 1962701722. It was assigned to this organization in the NPPES registry on March 19, 2011.

Where is Individualized Medicine, LLC located?

Individualized Medicine, LLC is located at 6100 Saint Johns Ave Suite 4(d), Palatka, FL 32177. The listed phone number is (386) 329-3939.

What is Individualized Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Individualized Medicine, LLC was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.