NPI | 1861154296 |
---|---|
Doing Business As | IMA MEDICAL GROUP - SOUTH SEMORAN |
Entity Type | Organization |
Authorized Contact | VANESSA HOURIHAN Administrator 407-845-0322 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2021-10-13 |
Last Update Date | 2021-10-13 |