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Organization

IVES MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY CARPENTER (OFFICE MANAGER)
(305) 910-2801
Entity
Organization

Contact information

Practice address
1800 NW CORPORATE BLVD STE 201, BOCA RATON, FL 33431-7336
(305) 910-2801
Mailing address
1031 IVES DAIRY RD STE 228, MIAMI, FL 33179-2538

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2085R0202X
Diagnostic Radiology Physician

Other

Enumeration date
01/24/2024
Last updated
01/24/2024
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