Organization Name: | INTERGRATED MEDICAL NETWORK |
NPI Number: | 1356676373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA ARRINGTON (PRES.) |
Mailing Address: | 8405 Balm St Weeki Wachee |
State: | FL US |
Postal Code: | 346074419 |
Phone Number: | 3525967887 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2009 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS6391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |