Organization Active NPI

Integrative Health of Orlando, LLC

  • Non-Pharmacy Dispensing Site
  • Oviedo, FL
National Provider Identifier
1992076723
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
INTEGRATIVE HEALTH OF ORLANDO, LLC
Practice address
425 Alexandria Blvd
Suite 100
Oviedo, FL 32765-5548
Phone
(407) 977-3842
NPI assigned
Jan 25, 2012
Organization subpart
Yes
Parent organization
INTEGRATIVE HEALTH OF ORLANDO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Jeffry Rocker, M.D.
Title
Medical Director
Phone
(407) 977-3842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

425 Alexandria Blvd
Suite 100
Oviedo, FL 32765-5548

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Integrative Physical Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Integrative Health of Orlando LLC

Locations

425 Alexandria Blvd
Ste 100
Oviedo, FL 32765
Phone (407) 977-3842

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1992076723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD",
            "address_2": "SUITE 100",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655548",
            "telephone_number": "407-977-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH OF ORLANDO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE HEALTH OF ORLANDO, LLC",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "ROCKER",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-977-3842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 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.