NPI | 1851066294 |
---|---|
Doing Business As | IMA MEDICAL GROUP - FAVILLI |
Entity Type | Organization |
Authorized Contact | VANESSA HOURIHAN VP Revenue Cycle 407-845-0322 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2021-08-09 |
Last Update Date | 2021-08-09 |