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General NPI Number Information
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NPI Number | 1902721822
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MEDICAL INSTITUTE LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 3042 N FEDERAL HWY STE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1400
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Country | US
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Telephone | 954-526-2066
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Fax | 888-291-8365
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Provider Business Mailing Address
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Address Line | 3042 N FEDERAL HWY STE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1400
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Country | US
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Telephone | 954-526-2066
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Fax | 888-291-8365
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Authorized Official
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Title or Position | MANGER
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Name | JOHN D RHODEN
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Credential | RN
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Telephone | 954-526-2066
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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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