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Organization

IMPERIAL GROUP SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR RAMON CASTILLO (PRESIDENT)
(786) 768-4882
Entity
Organization

Contact information

Practice address
777 NW 72ND AVE, SUITE 3157-A, MIAMI, FL 33126-3009
(786) 768-4882
Mailing address
777 NW 72ND AVE, SUITE 3157-A, MIAMI, FL 33126-3009
(786) 768-4882

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
111NX0800X
Orthopedic Chiropractor
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician

Other

Enumeration date
09/02/2009
Last updated
09/02/2009
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