Imc FL

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

IMC FL

Practice address

10058 Gulf Center Dr
Fort Myers, FL 33913-8961

Phone

(833) 493-4325

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Vaishali Nene Geib, MD

Title

Physician

Phone

(703) 725-3190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1982353934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221830309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058 GULF CENTER DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138961",
            "telephone_number": "833-493-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "GEIB",
        "authorized_official_first_name": "VAISHALI",
        "authorized_official_middle_name": "NENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-725-3190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.