# IMPLAGRAFT LLC

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

## Provider details

- **NPI number:** 1134638257
- **Authorized official:** LUIS RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (407) 484-2098

## Contact information

- **Practice address:** 12701 MAGNOLIA BAY BLVD, CLERMONT, FL 34711-8144
- **Practice address phone:** (407) 484-2098
- **Mailing address:** P.O. BOX 560569, MONTVERDE, FL 34756-9998
- **Mailing address phone:** (407) 484-2098
- **Mailing address fax:** (407) 386-8587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 12/18/2020