NPIMap

Organization Active NPI

Integrative Health of Orlando LLC

  • Specialist
  • Oviedo, FL
National Provider Identifier
1588974992
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS9108 Issued in FL
Legal business name
INTEGRATIVE HEALTH OF ORLANDO LLC
Practice address
425 Alexandria Blvd
Suite 1010
Oviedo, FL 32765-5516
Phone
(407) 977-3842
Fax
(407) 977-3433
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Mr. Marc OttNPI 1437191020
Title
President
Phone
(407) 977-3842

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OS9108 FL Primary

Addresses

Primary practice location

425 Alexandria Blvd
Suite 1010
Oviedo, FL 32765-5516

Mailing address

425 Alexandria Blvd
Suite 1010
Oviedo, FL 32765-5516
Phone (407) 977-3842

Other identifiers 1

IdentifierTypeStateIssuer
FR150AOtherFLMEDICARE B PTAN

Other names 1

  • Integrative Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1588974992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD",
            "address_2": "SUITE 1010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655516",
            "telephone_number": "407-977-3842",
            "fax_number": "407-977-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD",
            "address_2": "SUITE 1010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655516",
            "telephone_number": "407-977-3842",
            "fax_number": "407-977-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH OF ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-977-3842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS9108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PTAN",
            "identifier": "FR150A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.