| Independent Medical Group, Llc. | |
|
3880 Coconut Creek Pkwy Ste 100 Coconut Creek FL 33066-1643 | |
| (407) 312-7392 | |
| Not Available |
| Full Name | Independent Medical Group, Llc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, 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. 3880 Coconut Creek Pkwy Ste 100 Coconut Creek FL 33066-1643 Ph: (407) 312-7392 |
| NPI Number | 1689327074 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689327074 | NPI | - | NPPES |
| 850496596 | Other | FL | HRSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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