Active NPI
Integrative Primary Care Doctor
- Acupuncturist
- Lake Mary, FL
National Provider Identifier
1003262585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3693
- Legal business name
- INTEGRATIVE PRIMARY CARE DOCTOR
- Practice address
- 450 Saint Charles Court
Suite 1000
Lake Mary, FL 32746-7626 - Phone
- (407) 833-3800
- NPI assigned
- May 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Lawrence Walsh, D.O.M, A.P.
- Title
- Acupuncture Physician
- Phone
- (407) 435-9683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP3693 | FL | Primary |
Addresses
Primary practice location
450 Saint Charles Court
Suite 1000
Lake Mary, FL 32746-7626
Mailing address
450 Saint Charles CT Ste 1000
Lake Mary, FL 32746-2176
Phone (407) 833-3800
National Provider Directory
National Provider DirectoryLocations
450 Saint Charles Ct
Ste 1000
Lake Mary, FL 32746
Phone (407) 833-3800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFGBDA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463097600000",
"number": "1003262585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SAINT CHARLES CT STE 1000",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462176",
"telephone_number": "407-833-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SAINT CHARLES COURT",
"address_2": "SUITE 1000",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467626",
"telephone_number": "407-833-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE PRIMARY CARE DOCTOR",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
"authorized_official_telephone_number": "407-435-9683",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O.M, A.P."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
- Install - Don'T Fall, Inc.
- Integrated Life Counseling and Behavior Services
- Integrative Medicine of Lake Mary, Inc
- Integrative Physical Medicine of Lake Mary LLC
- Integrative Physical Medicine of Lake Mary LLC
- Interventional Spine Institute of Florida
- Interventional Spine Institute of Florida, PA
- Leigh Ippolito
- Irecovery, LLC
- Blanca L Irizarry, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.