| NPI | 1831468669 |
|---|---|
| Doing Business As | IM-USA |
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL ORTIZ DIAZ President 954-990-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101223) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |