| NPI | 1790458396 |
|---|---|
| Doing Business As | IMA MEDICAL GROUP ST. CLOUD |
| Entity Type | Organization |
| Authorized Contact | VANESSA HOURIHAN VP Of Revenue Cycle 407-845-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |