Provider Demographics
NPI:1992366470
Name:ALIGNED INTEGRATIVE MEDICINE, LLC
Entity Type:Organization
Organization Name:ALIGNED INTEGRATIVE MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KURT
Authorized Official - Last Name:DAHMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-428-9294
Mailing Address - Street 1:8401 BALM ST
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34607-4419
Mailing Address - Country:US
Mailing Address - Phone:352-340-5936
Mailing Address - Fax:352-340-5937
Practice Address - Street 1:8401 BALM ST
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34607-4419
Practice Address - Country:US
Practice Address - Phone:352-340-5936
Practice Address - Fax:352-340-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Multi-Specialty