Integrative Physician Associates, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10655 Issued in FL

Legal business name

INTEGRATIVE PHYSICIAN ASSOCIATES, LLC

Practice address

4431 Park Blvd N
Pinellas Park, FL 33781-3540

Phone

(727) 954-7180

Fax

(727) 954-5627

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Phu Tran, D.C.

Title

Member

Phone

(803) 464-5454

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1972054906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-954-7180",
            "fax_number": "727-954-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-954-7180",
            "fax_number": "727-954-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICIAN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "803-464-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9170",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Immerman
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• Clark Inovejas, PHYSICAL THERAPIST
• Inspired Senior Living of Pinellas Park Mt, LLC
• Kathleen Issler, APRN
• Venkata SSN Iyunni, MD
• Ujwala R Iyyunni, MD
• J. Kevin Schweninger, DO PA
• Simone Jackson, MA

• Chiropractor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.