Healthcare Provider Details

I. General information

NPI: 1508184276
Provider Name (Legal Business Name): INTEGRITY MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 05/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 N 9TH AVE
PENSACOLA FL
32504-7346
US

IV. Provider business mailing address

1 ALPHA AVE SUITE 20
VOORHEES NJ
08043-1049
US

V. Phone/Fax

Practice location:
  • Phone: 850-478-9660
  • Fax:
Mailing address:
  • Phone: 856-616-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: NANCY LUKE
Title or Position: CFO
Credential:
Phone: 856-616-2393