Organization Active NPI

Integrative Medical Institute LLC

  • General Practice Physician
  • Fort Lauderdale, FL
National Provider Identifier
1902721822
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATIVE MEDICAL INSTITUTE LLC
Practice address
3042 N Federal Hwy Ste 305
Fort Lauderdale, FL 33306-1400
Phone
(954) 526-2066
Fax
(888) 291-8365
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
John D Rhoden, RN
Title
Manger
Phone
(954) 526-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3042 N Federal Hwy Ste 305
Fort Lauderdale, FL 33306-1400

Mailing address

3042 N Federal Hwy Ste 305
Fort Lauderdale, FL 33306-1400
Phone (954) 526-2066

National Provider Directory

National Provider Directory

Locations

3042 N Federal Hwy
Ste 305
Ft Lauderdale, FL 33306
Phone (954) 417-5220

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1902721822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 N FEDERAL HWY STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061400",
            "telephone_number": "954-526-2066",
            "fax_number": "888-291-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 N FEDERAL HWY STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061400",
            "telephone_number": "954-526-2066",
            "fax_number": "888-291-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "RHODEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "954-526-2066",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.