# INTERVENTIONAL MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAKHOURY MEDICAL & CHIROPRACTIC CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386395143
- **Authorized official:** AMER ANSARI D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (352) 351-3413

## Contact information

- **Practice address:** 1009 SW 16TH LANE SUITE B, OCALA, FL 34471-1228
- **Practice address phone:** (352) 351-3413
- **Practice address fax:** (352) 629-6667
- **Mailing address:** 1009 SW 16TH LANE SUITE B, OCALA, FL 34471-1228
- **Mailing address phone:** (352) 351-3413
- **Mailing address fax:** (352) 629-6667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2022
- **Last updated:** 03/10/2022