INTEGRATIVE PHYSICAL MEDICINE OF SANFORD, LLC (NPI# 1386120004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386120004 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PHYSICAL MEDICINE OF SANFORD, LLC |
| Other Organization Name | INTEGRATIVE PHYSICAL MEDICINE |
| Practice Address |
2676 S Orlando Dr Sanford FL 32773-5339 |
| Mailing Address |
425 Alexandria Blvd Ste 1000 Oviedo FL 32765-5548 |
| Practice Telephone | 3212620082 |
| Practice Fax Number | 3212620084 |
| Mailing Telephone | 3213186758 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | DR. MARC OTT (CEO) |
| Authorized Official Telephone | 3212620082 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Integrative Physical Medicine | Doing Business As Name - Organization |
| Street Address |
2676 S ORLANDO DR |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808345 | Tyler Kuntz | Chiropractor | 21 Daigle Ln Ste 103, Sanford, ME 04073-3939 | 2018-04-23 |
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1528310083 | Bernnis A Torres | Chiropractor | 441 E. Airport Boulevard, Sanford, FL 32773 | 2012-10-09 |
| 1023373388 | Ignacio Jose Garcia | Chiropractor | 4932 West S.r. 46, 1006, Sanford, FL 32771 | 2012-07-11 |
| 1134411457 | Sanford Pain and Wellness Center Inc | Chiropractor | 321 N Mangoustine Ave, Sanford, FL 32771-1098 | 2011-05-04 |
| 1245548684 | Sarah Rachael Vleko | Chiropractor | 1081 Wp Ball Blvd, Sanford, FL 32771 | 2010-09-20 |
| 1275849424 | Ivan David Nieves | Chiropractor | 3973 Lone Eagle Pl, Sanford, FL 32771-5807 | 2010-08-25 |
| 1578882445 | Erin L Spaulding | Chiropractor | 819 E 1st St Ste 4, Sanford, FL 32771-1467 | 2010-05-18 |
| Find all providers in SANFORD | ||||
Please comment or provide details below to improve the information on INTEGRATIVE PHYSICAL MEDICINE OF SANFORD, LLC.
| 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.