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

Integrative Physical Medicine of Lake Mary LLC

Organization Specialist · NPI 1043637861

Integrative Physical Medicine of Lake Mary LLC is a Specialist in Lake Mary, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1343 S International Pkwy
Lake Mary, FL 32746-1401
Phone: (407) 792-0705
Fax: (407) 792-0710
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1043637861
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegrative Physical Medicine Holding LLC
Authorized official Marc Ott — President · (407) 792-0705
NPI enumeratedMarch 19, 2014
Last updated in NPPESJune 1, 2016
Mailing address1343 S International Pkwy, Lake Mary, FL 32746-1401

Other providers in Lake Mary