International Medical Center Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

INTERNATIONAL MEDICAL CENTER INC

Practice address

10 NW 42ND Ave
Suite # 600
Miami, FL 33126-5473

Phone

(305) 644-0977

Fax

(305) 644-0114

NPI assigned

Mar 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry De Jesus

Title

Owner

Phone

(786) 518-1911

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1134544901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NW 42ND AVE",
            "address_2": "SUITE # 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265473",
            "telephone_number": "305-644-0977",
            "fax_number": "305-644-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NW 42ND AVE",
            "address_2": "SUITE # 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265473",
            "telephone_number": "305-644-0977",
            "fax_number": "305-644-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-518-1911"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.