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 |