Healthcare Provider Details

I. General information

NPI: 1700707981
Provider Name (Legal Business Name): INTEGRATIVE HEALTH AND NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24055 SW 108TH AVE
HOMESTEAD FL
33032-5112
US

IV. Provider business mailing address

24055 SW 108TH AVE
HOMESTEAD FL
33032-5112
US

V. Phone/Fax

Practice location:
  • Phone: 645-239-5896
  • Fax: 305-230-2046
Mailing address:
  • Phone: 645-239-5896
  • Fax: 305-230-2046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ODET ROJAS
Title or Position: OWNER
Credential:
Phone: 786-597-3829