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INTERAMERICAN MEDICAL CENTER GROUP LLC NPI 1417236019


NPI Information

NPI: 1417236019
Provider Name: INTERAMERICAN MEDICAL CENTER GROUP LLC

Doing Business As: IMC HEALTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2003000

Address:
15529 BULL RUN RD
MIAMI LAKES, FL
ZIP 33014
Phone: (305) 455-3200
Get Directions

INTERAMERICAN MEDICAL CENTER GROUP LLC is a family medicine in Miami Lakes, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTERAMERICAN MEDICAL CENTER GROUP LLC NPI is 1417236019. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Imc Health.

The provider's business location address is:

15529 BULL RUN RD
MIAMI LAKES, FL
ZIP 33014-004
Phone: (305) 455-3200
Fax: (305) 455-3202

The provider's authorized official is Bill Lamoreaux .
The authorized official title is Ceo and has the following contact phone number (305) 649-8100.

The CLIA number assigned to this NPI record is 10D2003000 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 9/24/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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

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