INTEGRATIVE MEDICAL GROUP, USA, LLC


Address: 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082
Phone: 9042736533

INTEGRATIVE MEDICAL GROUP, USA, LLC (NPI# 1144628439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144628439
Entity Type Organization
Organization Name INTEGRATIVE MEDICAL GROUP, USA, LLC
Practice Address 1102 A1a North
Suite 104
Ponte Vedra Beach
FL 32082
Practice Telephone 9042736533
Practice Fax Number 9042736532
Mailing Telephone 9042736533
Mailing Fax Number 9042736532
Enumeration Date 2014-12-18
Last Update Date 2014-12-18
Authorized Official Name AYLIN OZDEMIR (OWNER)
Authorized Official Telephone 9042332888
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name PEDIATRIC ASSOCIATES OF JACKSONVILLE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 1102 A1A NORTH
SUITE 104
City PONTE VEDRA BEACH
State FL
Zip Code 32082

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518576818 Specialty Eye Surgeons, Pa Ophthalmology 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 2020-07-23
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1568988129 Mustafa Bakir General Practice 1102 A1a, Ponte Vedra Beach, FL 32082 2017-08-16
1457890584 Angelyn Sorgen Nurse Practitioner 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 2017-02-22
1033575121 Balanced Physician Care Pa Family Medicine 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 2016-01-06
1528436060 Robert Thompson II Chiropractor 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 2015-09-14
1811308901 Janice Wachtel, Phd, LLC Psychologist 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 2014-05-12
1578991154 Nicole Theiler Counselor 171 Canal Blvd, Ponte Vedra Beach, FL 32082 2013-10-17
1982948006 Daisamma Varghese Nurse Practitioner 860 A1an, Ponte Vedra, FL 32082 2012-11-15
1568726776 Joshua Edward Perry Dentist 7000 Sawgrass Village Circle, Ponte Vedra Beach, FL 32082 2012-07-02
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City PONTE VEDRA BEACH
Zip Code 32082

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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