Healthcare Provider Details

I. General information

NPI: 1053793349
Provider Name (Legal Business Name): INTEGRITY MEDICAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 06/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 ALEXANDRIA BLVD STE 1030
OVIEDO FL
32765-3300
US

IV. Provider business mailing address

40 ALEXANDRIA BLVD STE 1030
OVIEDO FL
32765-3300
US

V. Phone/Fax

Practice location:
  • Phone: 321-765-4373
  • Fax: 407-542-0666
Mailing address:
  • Phone: 321-765-4373
  • Fax: 407-542-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DONALD LEE BEHRMANN
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 321-765-4373