Integrative Physical Medicine of Debary, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF DEBARY, LLC

Doing business as

Integrative Physical Medicine

Practice address

110 Pond Court
Suite 300
Debary, FL 32713

Phone

(386) 753-7180

Fax

(386) 753-7185

NPI assigned

Apr 3, 2015

Organization subpart

Yes

Parent organization

INTEGRATIVE PHYSICAL MEDICINE HOLDING LLCAs reported in NPPES

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

Authorized official

Name

Marc Ott

Title

President / Owner

Phone

(407) 488-3751

Specialties & licenses 1

Addresses

Other names 1

• Integrative Physical Medicine Doing business as

Part of

Complete Care Centers LLC

Locations

Practitioners 1

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

• Bret G Scheuplein, BS DC

  • Chiropractor
  • Orlando, FL
  • NPI 1548390552
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1912392259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 POND COURT",
            "address_2": "SUITE 300",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "32713",
            "telephone_number": "386-753-7180",
            "fax_number": "386-753-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POND COURT",
            "address_2": "SUITE 300",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "32713",
            "telephone_number": "386-753-7180",
            "fax_number": "386-753-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF DEBARY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE PHYSICAL MEDICINE HOLDING LLC",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "407-488-3751"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawneece Evangellette Hunt
• Magued Ibrahim, M.D.
• Imam Psychiatry
• Muhammad Numaan Imam
• Impulse Chiropractic and Rehab LLC
• Integrity Behavioral & Coaching Solutions,LLC
• Internal Medicine at Debary LLC
• International Wudang Internal Martial Arts Research Association
• Wendy Isaac, RRT
• J.T. Partners Inc

• Specialist in Debary, FL
• Providers in Debary, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.