Provider Demographics
NPI:1114177037
Name:ADVANCED INTEGRATED MEDICINE, INC.
Entity Type:Organization
Organization Name:ADVANCED INTEGRATED MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLORINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-832-1050
Mailing Address - Street 1:14 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CALIFON
Mailing Address - State:NJ
Mailing Address - Zip Code:07830-4101
Mailing Address - Country:US
Mailing Address - Phone:908-832-1050
Mailing Address - Fax:908-832-1050
Practice Address - Street 1:14 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:CALIFON
Practice Address - State:NJ
Practice Address - Zip Code:07830-4101
Practice Address - Country:US
Practice Address - Phone:908-832-1050
Practice Address - Fax:908-832-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-28
Last Update Date:2008-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA055582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ043407Medicare PIN
NJH27548Medicare UPIN