Integrative Physical Medicine of Lake Mary LLC
NPI 1043637861ActiveOrganization· Specialist· Lake Mary, FL
Specialist in Lake Mary, Florida, registered in NPPES in March 2014, part of Integrative Physical Medicine Holding LLC. The authorized official on file is Marc Ott, President.
Overview
| NPI | 1043637861 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Integrative Physical Medicine Holding LLC |
| NPI issued | Mar 19, 2014 |
| Last updated in NPPES | Jun 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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