Institute Of Internal Medicine P A in St Augustine - Internal Medicine

Institute Of Internal Medicine P A - NPI 1457523003

Institute Of Internal Medicine P A is a Internal Medicine in St Augustine, Florida. Institute Of Internal Medicine P A practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Institute Of Internal Medicine P A is 1457523003. The last update date is 2011-09-15.

Institute Of Internal Medicine P A's current location address is 1301 Plantation Island Dr S, St Augustine, Florida. You can contact this provider via phone number 9044600707. The mailing address for Institute Of Internal Medicine P A is 1301 Plantation Island Dr S, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Institute Of Internal Medicine P A
Address 1301 Plantation Island Dr S, St Augustine, Florida
Phone Number 9044600707
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Vivero C Carmen
Credentials MD
Telephone Number 9044600707

NPI Number Detail

NPI Number 1457523003
Provider Enumeration Date 2008-03-24
Last Updated Date 2011-09-15

Provider Mailing Address Detail

Address 1301 Plantation Island Dr S
City St Augustine
State Florida (FL)
Post Code 320803108
Phone Number 9044600707
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME76599
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN9360 FL RR MEDICARE
44784 FL BCBS
3271700 FL --

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FAQs about Institute Of Internal Medicine P A

What is the Institute Of Internal Medicine P A's 1457523003?

The Institute Of Internal Medicine P A's NPI (National Provider Identifier) Number is 1457523003. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Institute Of Internal Medicine P A is physically located?

The Institute Of Internal Medicine P A is situated at the following address: 1301 Plantation Island Dr S, St Augustine, FL 320803108.

What is the Institute Of Internal Medicine P A's area of specialization and corresponding taxonomy classification?

The Institute Of Internal Medicine P A's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

When did Institute Of Internal Medicine P A receive its 1457523003 assignment?

The Institute Of Internal Medicine P A was assigned its 1457523003 on 2008-03-24, which is the date when this unique identifier was issued to the organization.

When was the Institute Of Internal Medicine P A's information last updated?

The Institute Of Internal Medicine P A's information was last updated on 2011-09-15.

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