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Organization
INTERNAL MEDICINE CENTER CORP
Active
Organization
INTERNAL MEDICINE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHABELI LOVAGNINI CASTILLO (PRESIDENT)
(813) 365-4239
Entity
Organization
Contact information
Practice address
710 OAKFIELD DR STE 102, BRANDON, FL 33511-4931
(813) 365-4239
Mailing address
710 OAKFIELD DR STE 102, BRANDON, FL 33511-4931
(813) 365-4239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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