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General NPI Number Information
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NPI Number | 1386588572
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MEDICINE CONSULTS PLLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 13191 STARKEY RD STE 11
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City | LARGO
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State | FL
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Zip | 33773-1438
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Country | US
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Telephone | 727-746-5597
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Fax |
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Provider Business Mailing Address
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Address Line | 13191 STARKEY RD STE 11
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City | LARGO
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State | FL
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Zip | 33773-1438
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Country | US
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Telephone | 727-746-5597
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | GILBERTO ALVAREZ
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Credential | MD
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Telephone | 813-462-1193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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