Organization
INTERNATIONAL MEDICAL CENTER GROUP LLC
Active
Other names
International Medical Center Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA GOMEZ (PRESIDENT)
(305) 960-7939
Entity
Organization
Contact information
Practice address
4150 NW 7TH ST, SUITE 208, MIAMI, FL 33126-5535
(305) 960-7939
Mailing address
4150 NW 7TH ST, SUITE 208, MIAMI, FL 33126-5535
(305) 960-7939
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC9279
FL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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