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

Integrative Modality, Inc

Organization Pharmacy · NPI 1700204302

Integrative Modality, Inc is a Pharmacy in Davie, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12555 Orange Dr #4079
Davie, FL 33330-4304
Phone: (954) 862-1720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 28002 (FL)

Record details

NPI number1700204302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorraine Jackson — Director · (954) 816-6703
NPI enumeratedApril 1, 2014
Last updated in NPPESApril 1, 2014
Mailing address12555 Orange Dr, 4079, Davie, FL 33330-4304

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