Organization
IMC -GULF ORTHOPAEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1361
Entity
Organization
Contact information
Practice address
1121 BELLEVILLE AVE STE A, BREWTON, AL 36426-1502
(251) 435-2663
Mailing address
1720 SPRING HILL AVE FL 3, MOBILE, AL 36604-1410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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