Integrative Physical Medicine of Mount Dora LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF MOUNT DORA LLC

Doing business as

Integrative Physical Medicine

Practice address

2818 S Bay St
Eustis, FL 32726

Phone

(352) 561-2361

Fax

(352) 561-2363

NPI assigned

Nov 21, 2014

Organization subpart

Yes

Parent organization

INTEGRATIVE PHYSICAL MEDICINE HOLDING LLCAs reported in NPPES

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

Authorized official

Name

Bret ScheupleinNPI 1548390552

Title

Owner

Phone

(352) 561-2361

Specialties & licenses 1

Addresses

Other names 1

• Integrative Physical Medicine Doing business as

Part of

Complete Care Centers LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bret G Scheuplein, BS DC

  • Chiropractor
  • Orlando, FL
  • NPI 1548390552
  NPD (past) Authorized official

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1104223916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266537",
            "telephone_number": "352-561-2361",
            "fax_number": "352-561-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32726",
            "telephone_number": "352-561-2361",
            "fax_number": "352-561-2363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6909 Old Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "32757",
            "country_code": "US",
            "telephone_number": "352-561-2361",
            "fax_number": "352-561-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF MOUNT DORA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC",
        "enumeration_date": "2014-11-21",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHEUPLEIN",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-561-2361"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Eustis, FL
• Providers in Eustis, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.