NPI: 1558906800
Provider Name: INDEPENDENT MEDICAL GROUP, LLC.
Other Name: INDEPENDENT MEDICAL GROUP, LLC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization
Specialization: Health Service
Address:
3800 INVERARRY BOULEVARD
SUITE 109
FORT LAUDERDALE, FL
ZIP 33319
Phone: (954) 314-8050
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INDEPENDENT MEDICAL GROUP, LLC. is a health service clinic center in Fort Lauderdale, FL. INDEPENDENT MEDICAL GROUP, LLC. NPI is 1558906800. The provider is registered as an organization entity type.
The provider Other Name Is Independent Medical Group, Llc..
The provider's business location address is:
3800 INVERARRY BOULEVARD
SUITE 109
FORT LAUDERDALE, FL
ZIP 33319
Phone: (954) 314-8050
Fax: (833) 258-4230
The provider's authorized official is Steven Vixamar .
The authorized official title is Coo and has the following contact phone number (954) 529-1178.
The enumeration date for this NPI number is 11/11/2019 and was last updated on 12/3/2020.