Organization
IME MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NSE A IMEH (PRESIDENT)
(813) 931-4015
Entity
Organization
Contact information
Practice address
401 W WATERS AVE STE A, TAMPA, FL 33604-2940
(813) 931-4015
Mailing address
401 W WATERS AVE STE A, TAMPA, FL 33604-2940
(813) 931-4015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025870900
—
FL
01
—
R9412
BCBS FL PROVIDER
FL
Enumeration date
02/26/2007
Last updated
06/18/2008
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