| Independent Medical Group, Llc. | |
|
7436 S Federal Hwy Port St Lucie FL 34952-1417 | |
| (800) 773-7066 | |
| Not Available |
| Full Name | Independent Medical Group, Llc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 7436 S Federal Hwy, Port St Lucie, Florida |
| Authorized Official Name and Position | Sonia N Torres (DIRECTOR - PROJECT MANAGEMENT) |
| Authorized Official Contact | 4075056435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Medical Group, Llc. 5701 Nw 88th Ave Ste 390 Tamarac FL 33321-4451 Ph: (800) 773-7066 | Independent Medical Group, Llc. 7436 S Federal Hwy Port St Lucie FL 34952-1417 Ph: (800) 773-7066 |
| NPI Number | 1033881180 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033881180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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