INDEPENDENT MEDICAL GROUP LLC. NPI 1033881180

NPI Information

NPI: 1033881180
Provider Name: INDEPENDENT MEDICAL GROUP, LLC.
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 10D2273267

Address:
7436 S FEDERAL HWY
PORT ST LUCIE, FL
ZIP 34952
Phone: (800) 773-7066
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INDEPENDENT MEDICAL GROUP, LLC. is a community health clinic center in Port St Lucie, FL. INDEPENDENT MEDICAL GROUP, LLC. NPI is 1033881180. The provider is registered as an organization entity type.

The provider's business location address is:

7436 S FEDERAL HWY
PORT ST LUCIE, FL
ZIP 34952-417
Phone: (800) 773-7066

The provider's authorized official is Sonia N Torres .
The authorized official title is Director - Project Management and has the following contact phone number (407) 505-6435.

The CLIA number assigned to this NPI record is 10D2273267 - other - community clinic for hiv with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 3/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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