Organization Active NPI

Integrative Physical Medicine of Winter Haven LLC

Doing business as Integrative Physical Medicine

  • Specialist
  • Winter Haven, FL
National Provider Identifier
1346656345
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTEGRATIVE PHYSICAL MEDICINE OF WINTER HAVEN LLC
Doing business as
Integrative Physical Medicine
Practice address
7494 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone
(407) 977-3434
NPI assigned
Jul 10, 2014
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATIVE PHYSICAL MEDICINE HOLDING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Marc OttNPI 1437191020
Title
President
Phone
(407) 977-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

7494 Cypress Gardens Blvd
Winter Haven, FL 33884

Mailing address

7494 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (407) 977-3434

Other names 1

  • Integrative Physical Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Complete Care Centers LLC

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1346656345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7494 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "407-977-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7494 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "407-977-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF WINTER HAVEN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-977-3434"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.