Independent Medical Group, Llc. | |
3900 S Florida Ave Ste 205 Lakeland FL 33813-1150 | |
(800) 773-7066 | |
Not Available |
Full Name | Independent Medical Group, Llc. |
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Speciality | Internal Medicine - Infectious Disease |
Location | 3900 S Florida Ave Ste 205, Lakeland, Florida |
Authorized Official Name and Position | Sonia N Torres (DIRECTOR OF PROJECTS) |
Authorized Official Contact | 4078600283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Independent Medical Group, Llc. 5701 Nw 88th Ave Ste 390 Tamarac FL 33321-4451 Ph: (407) 860-0283 | Independent Medical Group, Llc. 3900 S Florida Ave Ste 205 Lakeland FL 33813-1150 Ph: (800) 773-7066 |
NPI Number | 1518746460 |
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Provider Enumeration Date | 09/28/2023 |
Last Update Date | 09/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518746460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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