OrganizationActive
Integra Concierge Medicine LLC
NPI 1992673305 · Integrative Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1992673305
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Paul Busse, Ceo
Practice location
10175 Fortune Pkwy Unit 204
Jacksonville, FL 32256-6748
Phone: (904) 619-3609
Fax: (904) 900-2225
Mailing address
10175 Fortune Pkwy Unit 204
Jacksonville, FL 32256-6748
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.