Provider Demographics
NPI:1881093169
Name:INTEGRATIVE HEALTH & INJURY CARE, INC.
Entity type:Organization
Organization Name:INTEGRATIVE HEALTH & INJURY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:FRALICKER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:904-534-5663
Mailing Address - Street 1:835 CESERY BLVD
Mailing Address - Street 2:ROOM 6
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-5605
Mailing Address - Country:US
Mailing Address - Phone:904-534-5663
Mailing Address - Fax:
Practice Address - Street 1:835 CESERY BLVD
Practice Address - Street 2:ROOM 6
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-5605
Practice Address - Country:US
Practice Address - Phone:904-745-0208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 770742363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty