| Ima Medical Group - South Lakeland | |
|
4729 Us Highway 98 S Ste 201 Lakeland FL 33812-4336 | |
| (863) 940-3147 | |
| (863) 940-3141 |
| Full Name | Ima Medical Group - South Lakeland |
|---|---|
| Speciality | Internal Medicine |
| Location | 4729 Us Highway 98 S Ste 201, Lakeland, Florida |
| Authorized Official Name and Position | Vanessa Hourihan (VP REVENUE CYCLE) |
| Authorized Official Contact | 3213945736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ima Medical Group - South Lakeland 6675 Westwood Blvd Ste 475 Orlando FL 32821-6027 Ph: (407) 845-0330 | Ima Medical Group - South Lakeland 4729 Us Highway 98 S Ste 201 Lakeland FL 33812-4336 Ph: (863) 940-3147 |
| NPI Number | 1134896004 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134896004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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