Integrated Medicine of South Florida

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

INTEGRATED MEDICINE OF SOUTH FLORIDA

Practice address

714 NW 62ND St
Miami, FL 33150-4332

Phone

(305) 979-3770

NPI assigned

Aug 26, 2010

Last updated

Aug 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Thelusma

Title

Vice President

Phone

(305) 979-3770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1235445305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N W 62ND STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504332",
            "telephone_number": "305-979-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "THELUSMA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-979-3770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Health Medical Center of Bird Road
• Integrated Health Services LLC
• Integrated Healthcare Services LLC
• Integrated Healthcare Services LLC
• Integrated Holding Inc. (Integrated Nurse Registry)
• Integrated Physicians Centers, LLC.
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC

• Preferred Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.