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NPI Code Detail

MEDICARE: IMIS PLLC

MEDICARE: IMIS PLLC
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
1174400000XSpecialistME90952FL

General Provider Information

NPI Number : 1942449061
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMIS PLLC
Provider Business Mailing Address
First Line : PO BOX 567
Second Line :
City : PALM BEACH
State : FL
Zip : 33480-0567
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1411 N FLAGLER DR STE 6400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-3425
Country : US
Telephone Number : 561-267-0373
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : STACY HEWITT
Credential :
Telephone Number : 561-267-0373
Provider Enumeration Date : 02/12/2009
Last Update Date : 03/16/2009

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Directions to “IMIS PLLC ” Practice Location

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