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Organization
IMAGINE MEDICAL INTERNATIONAL LLC
Active
Organization
IMAGINE MEDICAL INTERNATIONAL LLC
Active
Other names
Imagine Medical International
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVANIKA KHANNA GROVER DDS (CHIEF CLINICAL OFFICER)
(469) 323-9093
Entity
Organization
Contact information
Practice address
10151 DEERWOOD PARK BLVD STE 200-250, JACKSONVILLE, FL 32256-0589
(904) 486-0746
Mailing address
10151 DEERWOOD PARK BLVD STE 200-250, JACKSONVILLE, FL 32256-0589
(904) 486-0746
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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