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Contact Information

INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC
1447 MEDICAL PARK BLVD STE 405
WELLINGTON, FL33414-3183
 Phone: 904-334-0910
 Fax: 561-363-2597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Bariatric Medicine

207RB0002X 11 Physician/Internal Medicine
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for INDEPENDENT MULTISPECIALTY GROUP OF FLORIDA LLC · (Female)

NPI # 1346745122
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2018
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 100453300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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