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1497402531 NPI number — INTEGRITY PRIMARY MED LLC

NPI Number: 1497402531
Health Care Provider/Practitioner: INTEGRITY PRIMARY MED LLC

Information about “1497402531” NPI (INTEGRITY PRIMARY MED LLC) exists in 1497402531 in HTML format HTML  |  1497402531 in plain Text format TXT  |  1497402531 in PDF (Portable Document Format) PDF  |  1497402531 in an XML format XML  formats.

NPI Number : 1497402531 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497402531",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTEGRITY PRIMARY MED LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10491 6 MILE CYPRESS PKWY STE 271",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT MYERS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33966-6518",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-215-3500",
    "MailingAddressFaxNumber": "239-215-3525",
    "FirstLinePracticeLocationAddress": "10491 6 MILE CYPRESS PKWY STE 271",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT MYERS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33966-6518",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-215-3500",
    "PracticeLocationAddressFaxNumber": "239-215-3525",
    "EnumerationDate": "03/08/2022",
    "LastUpdateDate": "07/11/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CALLAWAY",
    "AuthorizedOfficialFirstName": "EILEEN",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "CEO / OWNER / MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "239-215-3500",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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