# IMIS SURGERY INJURIES OF S.FLORIDA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972872562
- **Authorized official:** TAMMY M RODRIGUEZ (BILLING MANAGER)
- **Authorized official phone:** (954) 626-0063

## Contact information

- **Practice address:** 1100 W OAKLAND PARK BLVD, UNIT 3, WILTON MANORS, FL 33311-1612
- **Practice address phone:** (954) 626-0063
- **Practice address fax:** (888) 691-6040
- **Mailing address:** 1100 W OAKLAND PARK BLVD, UNIT 3, WILTON MANORS, FL 33311-1612
- **Mailing address phone:** (954) 626-0063
- **Mailing address fax:** (888) 691-6040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | FL | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 12/28/2011