MEDICARE: INTEGRATIVE MEDICINE CONSULTS PLLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1386588572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATIVE MEDICINE CONSULTS PLLC

Provider Business Mailing Address
First Line	:	13191 STARKEY RD STE 11
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1438
Country	:	US
Telephone Number	:	727-746-5597
Fax Number	:

Provider Business Practice Location Address
First Line	:	13191 STARKEY RD STE 11
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1438
Country	:	US
Telephone Number	:	727-746-5597
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	GILBERTO ALVAREZ
Credential	:	MD
Telephone Number	:	813-462-1193

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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