Provider Demographics
NPI:1063752251
Name:INTEGRATIVE FAMILY MEDICINE
Entity type:Organization
Organization Name:INTEGRATIVE FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-341-5060
Mailing Address - Street 1:1124 W HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5247
Mailing Address - Country:US
Mailing Address - Phone:407-341-5060
Mailing Address - Fax:
Practice Address - Street 1:1124 W HARVARD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5247
Practice Address - Country:US
Practice Address - Phone:407-341-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2899171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty