IMED ADVISORY LLC NPI 1366943466

NPI Information

NPI: 1366943466
Provider Name: IMED ADVISORY LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2152701

Address:
2100 E HALLANDALE BEACH BLVD STE 402
HALLANDALE BEACH, FL
ZIP 33009
Phone: (754) 202-2351
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IMED ADVISORY LLC is a general practice in Hallandale Beach, FL. IMED ADVISORY LLC NPI is 1366943466. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 E HALLANDALE BEACH BLVD STE 402
HALLANDALE BEACH, FL
ZIP 33009
Phone: (754) 202-2351
Fax: (754) 202-2352

The provider's authorized official is Allan N Fields .
The authorized official title is Medical Director and has the following contact phone number (754) 202-2351.

The CLIA number assigned to this NPI record is 10D2152701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2018 and was last updated on 7/2/2018.

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	208D00000X	General Practice			FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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