MEDICARE: INTEGRAL DEVELOPMENT SERVICES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093468514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRAL DEVELOPMENT SERVICES, INC

Provider Business Mailing Address
First Line	:	12700 SW 122ND AVE SUITES 108, 109 & 110
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-5265
Country	:	US
Telephone Number	:	786-353-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	12700 SW 122ND AVE STE 109&110
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-5265
Country	:	US
Telephone Number	:	786-353-2900
Fax Number	:	786-364-1676

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EVERT RAMIREZ
Credential	:
Telephone Number	:	786-353-2900

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	01/20/2023

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Directions to “INTEGRAL DEVELOPMENT SERVICES, INC ” Practice Location

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