| NPI | 1134896004 |
|---|---|
| Doing Business As | IMA MEDICAL GROUP - SOUTH LAKELAND |
| Entity Type | Organization |
| Authorized Contact | VANESSA HOURIHAN VP Revenue Cycle 321-394-5736 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-12-05 |