MEDICARE: INTEGRATED MEDICAL CENTER OF FLORIDA, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH8969	FL

General Provider Information

NPI Number	:	1952705600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED MEDICAL CENTER OF FLORIDA, LLC.

Provider Business Mailing Address
First Line	:	7136 LITTLE ROAD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654
Country	:	US
Telephone Number	:	727-816-9616
Fax Number	:	727-816-9618

Provider Business Practice Location Address
First Line	:	7136 LITTLE ROAD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654
Country	:	US
Telephone Number	:	727-816-9616
Fax Number	:	727-816-9618

Authorized Official
Title or Position	:	DOCTOR
Name	:	MICHAEL SAVIGNANO
Credential	:	D.C
Telephone Number	:	727-819-9616

Provider Enumeration Date	:	10/09/2014
Last Update Date	:	11/03/2015

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