Organization
INTERACTIVE MEDICAL - UNLIMITED SURGICAL ASSISTANT
Active
Other names
iM-USA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ANGEL ORTIZ DIAZ PA-C (PRESIDENT)
(954) 990-3515
Entity
Organization
Contact information
Practice address
49 N FEDERAL HWY # 361, POMPANO BEACH, FL 33062-4304
(954) 990-3515
Mailing address
49 N FEDERAL HWY # 361, POMPANO BEACH, FL 33062-4304
(954) 990-3515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101223
FL
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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