Provider Demographics
NPI:1194992628
Name:INTEGRATIVE HOSPITAL ASSOCIATES LLC
Entity type:Organization
Organization Name:INTEGRATIVE HOSPITAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNY
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-999-7688
Mailing Address - Street 1:4801 S UNIVERSITY DR STE 3010
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3844
Mailing Address - Country:US
Mailing Address - Phone:954-473-8925
Mailing Address - Fax:954-473-5993
Practice Address - Street 1:4801 S UNIVERSITY DR STE 3010
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3844
Practice Address - Country:US
Practice Address - Phone:954-473-8925
Practice Address - Fax:954-473-5993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty