Institute Of Internal Medicine P A in St Augustine - Addiction Medicine
Institute Of Internal Medicine P A - NPI 1457523003
Institute Of Internal Medicine P A is a Addiction Medicine in St Augustine, Florida. Institute Of Internal Medicine P A practices all healthcare services and medical treatments related to Addiction 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 | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | ME76599 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN9360 | FL | RR MEDICARE | |
| 44784 | FL | BCBS | |
| 3271700 | FL | -- |
Post Comment/ Review Below
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 Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, 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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