Imc-Pediatric & Adolescent Medicine, Llc in Mobile - Adolescent Medicine
Imc-Pediatric & Adolescent Medicine, Llc - NPI 1205905361
Imc-Pediatric & Adolescent Medicine, Llc is a Adolescent Medicine in Mobile, Alabama. Imc-Pediatric & Adolescent Medicine, Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Imc-Pediatric & Adolescent Medicine, Llc is 1205905361. The last update date is 2020-06-26.
Imc-Pediatric & Adolescent Medicine, Llc's current location address is 4013 Airport Blvd Ste C, Mobile, Alabama. You can contact this provider via phone number 2514355437 and fax number 2514356744. The mailing address for Imc-Pediatric & Adolescent Medicine, Llc is 4013 Airport Blvd Ste C, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imc-Pediatric & Adolescent Medicine, Llc |
|---|---|
| Address | 4013 Airport Blvd Ste C, Mobile, Alabama |
| Phone Number | 2514355437 |
| Fax Number | 2514356744 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Palazzo Anthony |
| Telephone Number | 2514351361 |
NPI Number Detail
| NPI Number | 1205905361 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2020-06-26 |
Provider Mailing Address Detail
| Address | 4013 Airport Blvd Ste C |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366082201 |
| Phone Number | 2514355437 |
| Fax Number | 2514356744 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51032409 | AL | AL BCBS | |
| 51032411 | AL | AL BCBS | |
| 51032413 | AL | AL BCBS | |
| 51032412 | AL | AL BCBS | |
| 529801010 | AL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Imc-Pediatric & Adolescent Medicine, Llc by the Centers for Medicare & Medicaid Services?
The Imc-Pediatric & Adolescent Medicine, Llc has been issued the NPI (National Provider Identifier) 1205905361. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Imc-Pediatric & Adolescent Medicine, Llc is physically located?
The Imc-Pediatric & Adolescent Medicine, Llc is physically situated at the following address: 4013 Airport Blvd Ste C, Mobile, AL, 366082201.
What is Imc-Pediatric & Adolescent Medicine, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Imc-Pediatric & Adolescent Medicine, Llc is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
When was the Imc-Pediatric & Adolescent Medicine, Llc's 1205905361 issued?
The Imc-Pediatric & Adolescent Medicine, Llc's 1205905361 was issued on 2006-11-06.
As of what date was the information pertaining to Imc-Pediatric & Adolescent Medicine, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Imc-Pediatric & Adolescent Medicine, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-26.