MEDICARE: INTERMED HEALTHCARE CENTERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146M00000X	Intermediate Emergency Medical Technician	HCC3668	FL

General Provider Information

NPI Number	:	1386697647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERMED HEALTHCARE CENTERS INC

Provider Business Mailing Address
First Line	:	11327 OKEECHOBEE BLVD
Second Line	:	SUITE 2
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8724
Country	:	US
Telephone Number	:	561-795-4565
Fax Number	:	561-795-3992

Provider Business Practice Location Address
First Line	:	11327 OKEECHOBEE BLVD
Second Line	:	SUITE 2
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-8724
Country	:	US
Telephone Number	:	561-795-4565
Fax Number	:	561-795-3992

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES S LOBEL
Credential	:
Telephone Number	:	561-795-4565

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

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