OrganizationIntegrative Health CenterGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address13155 SW 42nd Street, Suit 111 112, Miami, FL 33175-3428(305) 559-7063PECOS EnrollmentBased on the most recent information from CMS, provider Integrative Health Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871615682Provider TypeOrganizationFull NameIntegrative Health CenterSubpartNoEnumeration Date4/4/2007Last Updated2/12/2014Contact InformationPractice LocationPractice Address13155 SW 42nd Street, Suit 111 112, Miami, FL 33175-3428Phone(305) 559-7063Fax(305) 559-7839Mailing LocationMailing Address13155 SW 42nd Street, Suit 111 112, Miami, FL 33175-3428Phone(305) 559-7063Fax(305) 559-7839Authorized OfficialNameFerreira, Isabel Altagracia (Pediatrician Medical Director)Phone(305) 559-7063Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME57254FloridaProvider IdentifiersIDDescriptionIssuerID009723000DescriptionMedicaidIssuerUnlistedFloridaID051410100DescriptionMedicaidIssuerUnlistedFlorida