Integrative Physical Medicine of Metro West LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF METRO WEST LLC

Doing business as

Integrative Physical Medicine

Practice address

1743 Park Center Dr Ste 200
Orlando, FL 32835-7621

Phone

(407) 440-0844

Fax

(407) 440-9766

NPI assigned

Jan 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bret Genter Scheuplein, DC

Title

Owner

Phone

(407) 221-6690

Specialties & licenses 1

Addresses

Other names 1

• Integrative Physical Medicine Doing business as

Locations

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1245748052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 PARK CENTER DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357621",
            "telephone_number": "407-440-0844",
            "fax_number": "407-440-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 PARK CENTER DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357621",
            "telephone_number": "407-440-0844",
            "fax_number": "407-440-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF METRO WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "SCHEUPLEIN",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "GENTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-221-6690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "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"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.