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Organization
IM HEALTHCARE PA
Active
Organization
IM HEALTHCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B. MARTIN (ADMINISTRATOR)
(239) 303-2600
Entity
Organization
Contact information
Practice address
1220 BUSINESS WAY STE 2, LEHIGH ACRES, FL 33936-6073
(239) 303-2600
(239) 303-2604
Mailing address
1220 BUSINESS WAY STE 2, LEHIGH ACRES, FL 33936-6073
(239) 303-2600
(239) 303-2604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 7648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74973
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/31/2006
Last updated
10/20/2011
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