Organization
INDEPENDENT MEDICAL GROUP, LLC.
Active
Parent organization
INDEPENDENT MEDICAL GROUP, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENT MEDICAL GROUP, LLC.
Authorized official
SONIA N TORRES (CLINICAL OPERATIONS MANAGER)
(407) 860-0283
Entity
Organization
Contact information
Practice address
14902 WINDING CREEK CT STE 105C, TAMPA, FL 33613-1640
(407) 314-7492
Mailing address
5701 NW 88TH AVE STE 390, TAMARAC, FL 33321-4451
(407) 860-0283
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2023
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