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A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1417641606 |
| LBN Legal business name | INTERNATIONAL MEDICAL SURGICAL CENTER, LLC |
| Authorized official | JOSUE VILLALTA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/08/2023 |
| Last updated | 04/04/2025 - More than a year ago |
| Identifiers | n/a |
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INTERNATIONAL MEDICAL SURGICAL CENTER, LLC