# INTERNATIONAL MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134544901
- **Authorized official:** LARRY DE JESUS (OWNER)
- **Authorized official phone:** (786) 518-1911

## Contact information

- **Practice address:** 10 NW 42ND AVE, SUITE \# 600, MIAMI, FL 33126-5473
- **Practice address phone:** (305) 644-0977
- **Practice address fax:** (305) 644-0114
- **Mailing address:** 10 NW 42ND AVE, SUITE \# 600, MIAMI, FL 33126-5473
- **Mailing address phone:** (305) 644-0977
- **Mailing address fax:** (305) 644-0114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 03/03/2014
- **Last updated:** 03/03/2014