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Organization
INDEPENDENT MEDICAL GROUP, LLC.
Active
Organization
INDEPENDENT MEDICAL GROUP, LLC.
Active
Parent organization
INDEPENDENT MEDICAL GROUP, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENT MEDICAL GROUP, LLC.
Authorized official
SONIA N TORRES (CLINICAL OPERATIONS MANAGER)
(407) 860-0283
Entity
Organization
Contact information
Practice address
14902 WINDING CREEK CT STE 105C, TAMPA, FL 33613-1640
(407) 314-7492
Mailing address
5701 NW 88TH AVE STE 390, TAMARAC, FL 33321-4451
(407) 860-0283
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/28/2021
Last updated
09/28/2023
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