Organization
IMIS SURGERY INJURIES OF S.FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY M RODRIGUEZ (BILLING MANAGER)
(954) 626-0063
Entity
Organization
Contact information
Practice address
1100 W OAKLAND PARK BLVD, UNIT 3, WILTON MANORS, FL 33311-1612
(954) 626-0063
(888) 691-6040
Mailing address
1100 W OAKLAND PARK BLVD, UNIT 3, WILTON MANORS, FL 33311-1612
(954) 626-0063
(888) 691-6040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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