| Independent Medical Group, Llc. | |
|
14902 Winding Creek Ct Ste 105c Tampa FL 33613-1640 | |
| (407) 314-7492 | |
| Not Available |
| Full Name | Independent Medical Group, Llc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 14902 Winding Creek Ct Ste 105c, Tampa, Florida |
| Authorized Official Name and Position | Sonia N Torres (CLINICAL OPERATIONS MANAGER) |
| Authorized Official Contact | 4078600283 |
| 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. 14902 Winding Creek Ct Ste 105c Tampa FL 33613-1640 Ph: (407) 314-7492 |
| NPI Number | 1790457836 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790457836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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