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Organization
I.M.P.A.C.T, MEDGROUP, INC
Active
Organization
I.M.P.A.C.T, MEDGROUP, INC
Active
Parent organization
I.M.P.A.C.T, MEDGROUP, INC
Other names
I.M.P.A.C.T HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
I.M.P.A.C.T, MEDGROUP, INC
Authorized official
VIVIAN ROBAINA (OFFICE MANAGER)
(941) 303-4120
Entity
Organization
Contact information
Practice address
724 39TH ST W, BRADENTON, FL 34205-2454
(941) 303-4120
(949) 437-3960
Mailing address
724 39TH ST W, BRADENTON, FL 34205-2454
(941) 303-4120
(813) 641-9001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2010
Last updated
10/19/2022
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