| NPI | 1942700158 |
|---|---|
| Doing Business As | IMC |
| Entity Type | Organization |
| Authorized Contact | JOHN MARK MILLER Owner/ President 850-656-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |