Integrated Medical Group Incorporated
LBN: Integrated Medical Group Incorporated
Integrated Medical Group Incorporated is an health care organization with primary practice located at 2401 Grand Blvd , Holiday FL 34690-4508. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Integrated Medical Group Incorporated can be contacted via phone (727) 934-5757, or through Huber, David via phone (727) 934-5757.
Contact Information
Primary practice address
2401 Grand Blvd
Holiday FL 34690-4508
Phone: (727) 934-5757
Fax: (727) 937-6258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH2603 | Florida |
Profile Details
| NPI number | 1578782132 |
|---|---|
| LBN Legal business name | Integrated Medical Group Incorporated |
| DBA Doing business as | |
| Authorized official | Huber, David Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Sep 8th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578782132 | NPPES |
| Florida | Other | 235001 | AMERIGROUP GROUP ID |
| Florida | Other | 55738 | AMERIGROUP GROUP ID |
| Florida | MEDICAID | 381250200 | AMERIGROUP GROUP ID |
| Florida | Other | 280679 | AMERIGROUP GROUP ID |
| Florida | Other | 176018 | AMERIGROUP GROUP ID |
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