Integrative Cancer Therapeutics LLC

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

ME70312 Issued in FL

Legal business name

INTEGRATIVE CANCER THERAPEUTICS LLC

Practice address

4800 N. Federal Hwy.
Suite B300
Boca Raton, FL 33431-3409

Phone

(561) 886-0976

Fax

(561) 367-7388

NPI assigned

Apr 14, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shan Nicole Lezark

Title

Practice Manager

Phone

(561) 886-0976

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1083033559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY",
            "address_2": "SUITE B306",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "561-886-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N. FEDERAL HWY.",
            "address_2": "SUITE B300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313409",
            "telephone_number": "561-886-0976",
            "fax_number": "561-367-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CANCER THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "LEZARK",
        "authorized_official_first_name": "SHAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-886-0976",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "FL",
            "license": "ME70312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oncology Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Oncology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.