| Ima Medical Group St. Cloud | |
|
1495 Budinger Ave Saint Cloud FL 34769-4157 | |
| (407) 593-9890 | |
| (407) 910-4795 |
| Full Name | Ima Medical Group St. Cloud |
|---|---|
| Speciality | Internal Medicine |
| Location | 1495 Budinger Ave, Saint Cloud, Florida |
| Authorized Official Name and Position | Vanessa Hourihan (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 4078450322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ima Medical Group St. Cloud 6675 Westwood Blvd Ste 475 Orlando FL 32821-6027 Ph: (407) 845-0330 | Ima Medical Group St. Cloud 1495 Budinger Ave Saint Cloud FL 34769-4157 Ph: (407) 593-9890 |
| NPI Number | 1790458396 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790458396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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