Imc Health | |
15105 Nw 77th Ave Miami Lakes FL 33014-7803 | |
(305) 649-8100 | |
(305) 649-8778 |
Full Name | Imc Health |
---|---|
Speciality | Family Medicine |
Location | 15105 Nw 77th Ave, Miami Lakes, Florida |
Authorized Official Name and Position | Carlos De Solo (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3056498100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Imc Health 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Imc Health 15105 Nw 77th Ave Miami Lakes FL 33014-7803 Ph: (305) 649-8100 |
NPI Number | 1790121325 |
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Provider Enumeration Date | 05/22/2013 |
Last Update Date | 08/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790121325 | NPI | - | NPPES |
EU039B | Other | FL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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