Im Healthcare Pa | |
1220 Business Way Ste 2 Lehigh Acres FL 33936-6073 | |
(239) 303-2600 | |
(239) 303-2604 |
Full Name | Im Healthcare Pa |
---|---|
Speciality | Internal Medicine |
Location | 1220 Business Way Ste 2, Lehigh Acres, Florida |
Authorized Official Name and Position | James B. Martin (ADMINISTRATOR) |
Authorized Official Contact | 2393032600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Im Healthcare Pa 1220 Business Way Ste 2 Lehigh Acres FL 33936-6073 Ph: (239) 303-2600 | Im Healthcare Pa 1220 Business Way Ste 2 Lehigh Acres FL 33936-6073 Ph: (239) 303-2600 |
NPI Number | 1538116728 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 10/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538116728 | NPI | - | NPPES |
74973 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS 7648 (Florida) | Primary |
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