| Imac Management Of Florida, Llc | |
|
24830 S Tamiami Trl Ste 1000 Bonita Springs FL 34134-7031 | |
| (239) 948-3280 | |
| (239) 236-1719 |
| Full Name | Imac Management Of Florida, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 24830 S Tamiami Trl Ste 1000, Bonita Springs, Florida |
| Authorized Official Name and Position | Jeff Ervin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6158890024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imac Management Of Florida, Llc 1605 Westgate Cir Ste 100 Brentwood TN 37027-8396 Ph: (615) 889-0024 | Imac Management Of Florida, Llc 24830 S Tamiami Trl Ste 1000 Bonita Springs FL 34134-7031 Ph: (239) 948-3280 |
| NPI Number | 1417597667 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417597667 | NPI | - | NPPES |
| CH7358 | Other | FL | STATE CHIROPRACTIC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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