Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Individualized Medicine, LLC

Organization Internal Medicine Physician · NPI 1962701722

Individualized Medicine, LLC is an Internal Medicine Physician in Palatka, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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

6100 Saint Johns Ave Ste 4(D)
Palatka, FL 32177-3844
Phone: (386) 329-3939
Fax: (386) 329-8990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1962701722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larisa Malykh — Practice Owner/Physician · (386) 329-3939
NPI enumeratedMarch 19, 2011
Last updated in NPPESMarch 26, 2012
Mailing addressPo Box 100, Elkton, FL 32033-0100

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