# IHS MEDICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1356664445
- **Authorized official:** DR. JERMAINE BOWEN PHARM. D (BUSINESS MANAGER)
- **Authorized official phone:** (954) 726-1662

## Contact information

- **Practice address:** 7800 N UNIVERSITY DR, SUITE 101-102, TAMARAC, FL 33321-2128
- **Practice address phone:** (954) 726-1662
- **Practice address fax:** (954) 726-1678
- **Mailing address:** 7800 N UNIVERSITY DR, SUITE 102, TAMARAC, FL 33321-2128
- **Mailing address phone:** (954) 726-1662
- **Mailing address fax:** (954) 726-1678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 03/04/2010