Healthcare Provider Details

I. General information

NPI: 1619388212
Provider Name (Legal Business Name): INTEGRAL DEVELOPMENT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12700 SW 122ND AVE STE 110
MIAMI FL
33186-5271
US

IV. Provider business mailing address

12700 SW 122ND AVE STE 108-110
MIAMI FL
33186-5265
US

V. Phone/Fax

Practice location:
  • Phone: 786-353-2900
  • Fax: 786-364-1676
Mailing address:
  • Phone: 786-353-2900
  • Fax: 786-364-1676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: EVERT RAMIREZ
Title or Position: PRESIDENT
Credential:
Phone: 786-353-2900