| NPI | 1063174498 |
|---|---|
| Doing Business As | IMA MEDICAL GROUP - DEBARY |
| Entity Type | Organization |
| Authorized Contact | VANESSA HOURIHAN VP Revenue Cycle 407-845-0322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |