| Independent Medical Group, LLC | |
|
3880 Coconut Creek Pkwy Ste 100 Coconut Creek FL 33066-1643 | |
| (954) 835-4284 | |
| Not Available |
| Full Name | Independent Medical Group, LLC |
|---|---|
| Speciality | General Practice |
| Location | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, 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 3800 Inverrary Blvd Ste 109 Lauderhill FL 33319-4316 Ph: (140) 786-0028 | Independent Medical Group, LLC 3880 Coconut Creek Pkwy Ste 100 Coconut Creek FL 33066-1643 Ph: (954) 835-4284 |
| NPI Number | 1265162267 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265162267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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