Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Integrative Physical Medicine of Lake Mary LLC

Organization Specialist · NPI 1487907010

Integrative Physical Medicine of Lake Mary LLC provides Specialist services in Lake Mary, Florida. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1343 S International Pkwy Ste 1351-B
Lake Mary, FL 32746-1401 Not confirmed with CMS for 13 years — call before visiting
Phone: (407) 792-0705
Fax: (407) 792-0710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1487907010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Ott — President · (407) 977-3434
NPI enumeratedOctober 19, 2012
Last updated in NPPESNovember 20, 2012
Mailing address1343 S International Pkwy, Suite 1351-B, Lake Mary, FL 32746-1401

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