Provider Demographics
NPI:1447543368
Name:INTEGRAL MEDICINE OF SARASOTA COUNTY LLC
Entity type:Organization
Organization Name:INTEGRAL MEDICINE OF SARASOTA COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITHERS
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:941-487-7349
Mailing Address - Street 1:1219 EAST AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2348
Mailing Address - Country:US
Mailing Address - Phone:941-487-7349
Mailing Address - Fax:
Practice Address - Street 1:1219 EAST AVE
Practice Address - Street 2:STE 202
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2348
Practice Address - Country:US
Practice Address - Phone:941-487-7349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty