Organization
IRFAN R IMAMI MD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFAN R IMAMI MD (MANAGING MEMBER)
(321) 473-1066
Entity
Organization
Contact information
Practice address
1140 BROADBAND DR, MELBOURNE, FL 32901-2623
(321) 473-1066
(321) 733-0211
Mailing address
PO BOX 819, MELBOURNE, FL 32902-0819
(321) 473-1066
(321) 733-0211
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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