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Organization
INTERAMERICAN MEDICAL CENTER GROUP LLC
Active
Organization
INTERAMERICAN MEDICAL CENTER GROUP LLC
Active
Other names
IMC HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS DE SOLO (CHIEF EXECUTIVE OFFICER)
(305) 649-8100
Entity
Organization
Contact information
Practice address
11348 QUAIL ROOST DR, MIAMI, FL 33157-6567
(305) 253-1660
(305) 253-5775
Mailing address
1000 NW 57TH CT STE 400, MIAMI, FL 33126-3292
(305) 649-8100
(305) 649-8778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008705006
—
FL
01
—
EU039B
PTAN
FL
Enumeration date
07/07/2011
Last updated
08/15/2024
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