Integrative Healthcare of South Florida LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME82117 Issued in FL

Legal business name

INTEGRATIVE HEALTHCARE OF SOUTH FLORIDA LLC

Practice address

6152 Verde TRL N
Boca Raton, FL 33433-2430

Phone

(954) 388-0900

Fax

(954) 901-2838

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Dinh Pham, MDNPI 1861495657

Title

Owner/Medical Doctor

Phone

(954) 650-7662

Specialties & licenses 1

Addresses

Other names 1

• INTERGRATIVE HEALTH CARE OF SOUTH FLORIDA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dinh Quoc Pham, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
  • NPI 1861495657
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1407343015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 NE 54TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083158",
            "telephone_number": "954-650-7662",
            "fax_number": "954-901-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6152 VERDE TRL N",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332430",
            "telephone_number": "954-388-0900",
            "fax_number": "954-901-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTHCARE OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DINH",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-650-7662",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME82117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERGRATIVE HEALTH CARE OF SOUTH FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geriatric Medicine (Internal Medicine) Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.