Provider Demographics
NPI:1205400090
Name:INTERNAL MEDICINE SERVICES, LLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE SERVICES, LLC
Other - Org Name:INTERNAL MEDICINE & HEALTHY LIFESTYLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS-TIRADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-476-9066
Mailing Address - Street 1:11954 NARCOOSSEE RD STE 2-187
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6998
Mailing Address - Country:US
Mailing Address - Phone:407-476-9066
Mailing Address - Fax:
Practice Address - Street 1:9486 NARCOOSSEE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5705
Practice Address - Country:US
Practice Address - Phone:407-476-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty