| NPI | 1265162267 |
|---|---|
| Doing Business As | INDEPENDENT MEDICAL GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | SONIA N TORRES Clinical Operations Manager 407-860-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |