Organization Active NPI

Integrative Medicine US Inc

  • Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1508379355
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP3879 Issued in FL
Legal business name
INTEGRATIVE MEDICINE US INC
Practice address
3720 Coconut Creek Pkwy Ste B
Coconut Creek, FL 33066-1634
Phone
(954) 884-0099
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Jonathan Fields, AP, DOMNPI 1538671003
Title
Owner
Phone
(954) 531-8146

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AP3879 FL Primary

Addresses

Primary practice location

3720 Coconut Creek Pkwy Ste B
Coconut Creek, FL 33066-1634

Mailing address

1440 Coral Ridge Dr # 361
Coral Springs, FL 33071-5433

Other names 1

  • Integrative Medicine US Doing business as

National Provider Directory

National Provider Directory

Locations

3720 Coconut Creek Pkwy
Ste B
Coconut Creek, FL 33066
Phone (833) 552-7223

8197 N University Dr
Ste 2
Tamarac, FL 33321
Phone (954) 531-8150

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1508379355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CORAL RIDGE DR # 361",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 COCONUT CREEK PKWY STE B",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661634",
            "telephone_number": "954-884-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE US INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-531-8146",
        "authorized_official_credential": "AP, DOM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "AP3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Medicine US",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.