Organization
INTERVENTIONAL MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN GANN (PRACTICE MANAGER)
(352) 331-3353
Entity
Organization
Contact information
Practice address
6821 NW 11TH PL, GAINESVILLE, FL 32605-4216
(352) 331-3353
(352) 333-9035
Mailing address
6821 NW 11TH PL, GAINESVILLE, FL 32605-4216
(352) 331-3353
(352) 333-9035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME76862
FL
174400000X
Specialist
Primary
ME82864
FL
Other
Enumeration date
12/05/2005
Last updated
01/13/2014
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