NPI 1235445305

Integrated Medicine of South Florida

Organisation Preferred Provider Organization Miami, FL

Practice location

Address: 714 NW 62nd St, Miami, FL 33150-4332
Phone: (305) 979-3770
Mailing address: 714 N W 62nd Street, Miami, FL 33150

Authorised official

Name: Thomas Thelusma
Title: Vice President
Phone: (305) 979-3770

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1235445305
Entity type: Organization
NPI issued: 26 Aug 2010
Record last updated: 26 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.