I.m.p.a.c.t, Medgroup, INC

NPI #1427371921 in Bradenton, Florida

Provider Information

NPI Number: 1427371921
Entity Type: Organization
Organization Name: I.m.p.a.c.t, Medgroup, INC
Subpart: Yes (part of a larger organization)
Parent Organization: I.M.P.A.C.T, MEDGROUP, INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 11, 2010
Last Updated: Oct 19, 2022

Practice Location

Address: 724 39TH ST W
City: Bradenton
State: Florida
ZIP Code: 34205-2454
Phone: (941) 303-4120

Authorized Official

Name: VIVIAN ROBAINA
Title: OFFICE MANAGER
Phone: (941) 303-4120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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