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General NPI Number Information
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NPI Number | 1447399902
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Entity Type | Organization
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Legal Business Name | IMMEDIATE MEDICAL CARE CORP
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9770 BAYMEADOWS RD SUITE 115
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7985
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Country | US
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Telephone | 904-641-5550
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Fax | 904-641-5520
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Provider Business Mailing Address
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Address Line | 9770 BAYMEADOWS RD SUITE 115
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7985
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Country | US
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Telephone | 904-641-5550
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Fax | 904-641-5520
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMSEY MOOSAVI
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Credential | M.D.
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Telephone | 904-641-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 93241
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 92856
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License Number State | FL
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