OrganizationActive
Independent Medical Group, LLC.
NPI 1689327074 · Infectious Disease Physician · Coconut Creek, FL
Provider details
- NPI number
- 1689327074
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sonia Torres, Clinical Operations Manager(407) 505-6435
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3880 Coconut Creek Pkwy Ste 100
Coconut Creek, FL 33066-1643
Phone: (407) 312-7392
Street-level locationGet directions
Mailing address
5701 Nw 88th Ave Ste 390
Tamarac, FL 33321-4451
Registry dates
- Enumerated
- 2022-01-27
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.