| Organization Name: | ALACHUA INTEGRATIVE MEDICINE, INC |
| NPI Number: | 1407042807 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA CONCEICAO (OFFICE MANAGER) |
| Mailing Address: | 14804 Nw 140th St Alachua |
| State: | FL US |
| Postal Code: | 326156276 |
| Phone Number: | 3864181234 |
| Fax Number: | 3864188203 |
| NPI Enumeration Date: | 09/19/2007 |
| NPI Last Update Date: | 09/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1557262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |