Healthcare Provider Details

I. General information

NPI: 1386588572
Provider Name (Legal Business Name): INTEGRATIVE MEDICINE CONSULTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13191 STARKEY RD STE 11
LARGO FL
33773-1438
US

IV. Provider business mailing address

13191 STARKEY RD STE 11
LARGO FL
33773-1438
US

V. Phone/Fax

Practice location:
  • Phone: 727-746-5597
  • Fax:
Mailing address:
  • Phone: 727-746-5597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: GILBERTO ALVAREZ
Title or Position: MGR
Credential: MD
Phone: 813-462-1193