# IMAC MANAGEMENT OF FLORIDA, LLC

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

## Provider details

- **NPI number:** 1417597667
- **Authorized official:** JEFF ERVIN CEO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (615) 889-0024

## Contact information

- **Practice address:** 24830 S TAMIAMI TRL STE 1000, BONITA SPRINGS, FL 34134-7031
- **Practice address phone:** (239) 948-3280
- **Practice address fax:** (239) 236-1719
- **Mailing address:** 1605 WESTGATE CIR STE 100, BRENTWOOD, TN 37027-8396
- **Mailing address phone:** (615) 889-0024

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2020
- **Last updated:** 01/15/2020