MEDICARE: I M T F 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	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	3404431	FL

General Provider Information

NPI Number	:	1649478660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I M T F INC

Provider Business Mailing Address
First Line	:	5101 SW 8TH ST
Second Line	:	STE 2B
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2442
Country	:	US
Telephone Number	:	305-443-2228
Fax Number	:

Provider Business Practice Location Address
First Line	:	5101 SW 8TH ST
Second Line	:	STE 2B
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2442
Country	:	US
Telephone Number	:	305-443-2228
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL ALFARO
Credential	:
Telephone Number	:	305-443-2228

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	07/11/2007

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Directions to “I M T F INC ” Practice Location

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