| Independent Medical Group, Llc. | |
|
4360 Northlake Blvd Ste 204 Palm Beach Gardens FL 33410-6264 | |
| (772) 678-8258 | |
| Not Available |
| Full Name | Independent Medical Group, Llc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4360 Northlake Blvd Ste 204, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Sonia N Torres (CLINICAL OPERATIONS MANAGER) |
| 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: (407) 860-0283 | Independent Medical Group, Llc. 4360 Northlake Blvd Ste 204 Palm Beach Gardens FL 33410-6264 Ph: (772) 678-8258 |
| NPI Number | 1154098580 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154098580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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