Provider Demographics
NPI:1245771336
Name:INTERNAL MEDICINE GROUP INC.
Entity Type:Organization
Organization Name:INTERNAL MEDICINE GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-888-7709
Mailing Address - Street 1:278 SUSSEX CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8118
Mailing Address - Country:US
Mailing Address - Phone:703-888-7709
Mailing Address - Fax:561-295-5088
Practice Address - Street 1:278 SUSSEX CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8118
Practice Address - Country:US
Practice Address - Phone:703-888-7709
Practice Address - Fax:561-295-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124391261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care