| Imc Health | |
|
1225 Nw 40th Ave Unit 2 Lauderhill FL 33313-5801 | |
| (954) 615-0900 | |
| (954) 615-0901 |
| Full Name | Imc Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1225 Nw 40th Ave Unit 2, Lauderhill, Florida |
| Authorized Official Name and Position | Carlos De Solo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3056498100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imc Health 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Imc Health 1225 Nw 40th Ave Unit 2 Lauderhill FL 33313-5801 Ph: (954) 615-0900 |
| NPI Number | 1609203488 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609203488 | NPI | - | NPPES |
| EU039B | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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