Organization Active NPI

Florida Integrative Medicine

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1366802977
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FLORIDA INTEGRATIVE MEDICINE
Practice address
201 Ruby Ave
Kissimmee, FL 34741-5697
Phone
(407) 931-3700
Fax
(407) 567-7900
NPI assigned
Feb 25, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Mr. Luis DelrioNPI 1659534824
Title
Owner
Phone
(407) 931-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
General Practice Physician 208D00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

201 Ruby Ave
Kissimmee, FL 34741-5697

Mailing address

201 Ruby Ave
Kissimmee, FL 34741-5697
Phone (407) 931-3700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1366802977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RUBY AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415697",
            "telephone_number": "407-931-3700",
            "fax_number": "407-567-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUBY AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415697",
            "telephone_number": "407-931-3700",
            "fax_number": "407-567-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "DELRIO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-931-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.