| Imperial Health Systems, Inc | |
|
13780 Sw 26th St Ste 104 Miami FL 33175-6302 | |
| (305) 480-0803 | |
| Not Available |
| Full Name | Imperial Health Systems, Inc |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 13780 Sw 26th St, Miami, Florida |
| Authorized Official Name and Position | Manuela Borches (PRESIDENT) |
| Authorized Official Contact | 3057857266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Health Systems, Inc 13780 Sw 26th St Ste 104 Miami FL 33175-6302 Ph: (305) 480-0803 | Imperial Health Systems, Inc 13780 Sw 26th St Ste 104 Miami FL 33175-6302 Ph: (305) 480-0803 |
| NPI Number | 1528156445 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528156445 | NPI | - | NPPES |
| HCC7273 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | HCC7273 (Florida) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | HCC7273 (Florida) | Primary |
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