MEDICARE: INTEGRATIVE & ALTERNATIVE MEDICINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0076836	FL

General Provider Information

NPI Number	:	1053658658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATIVE & ALTERNATIVE MEDICINE, LLC

Provider Business Mailing Address
First Line	:	8320 W SUNRISE BLVD STE 105
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5434
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8320 W SUNRISE BLVD STE 105
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5434
Country	:	US
Telephone Number	:	954-797-3853
Fax Number	:	954-797-3887

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANDREA RAMSAY
Credential	:	MD
Telephone Number	:	954-478-4870

Provider Enumeration Date	:	01/16/2013
Last Update Date	:	04/15/2013

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