R3 Integrated Health Plus LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

R3 INTEGRATED HEALTH PLUS LLC

Practice address

949 Broadway
Dunedin, FL 34698-5717

Phone

(813) 417-1165

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Damon Stafford, DC

Title

Sole MBR

Phone

(813) 417-1165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1215525134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 BROADWAY",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 BROADWAY",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985717",
            "telephone_number": "813-417-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3 INTEGRATED HEALTH PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "813-417-1165",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #1413)
• Publix Super Markets Inc (Publix Pharmacy #0353)
• Destiny Pullen
• Murali Puthisigamani, MD
• Elisa Mercedes Quintana Oronoz, MD
• Radiology Associates of Clearwater
• Rainey Chiropractic Inc.
• Ian Robert Rainey, D.C.
• Raveling Chiropractic Center PA
• Paul A Raveling, D.C.

• General Practice Physician in Dunedin, FL
• Providers in Dunedin, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.