Institute of Internal Medicine P A
Institute of Internal Medicine P A is an Internal Medicine Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2008.
- Licensed in
- FL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
1301 Plantation Island Dr S Ste 402BSt Augustine, FL 32080-3108
Phone: (904) 460-0707
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence ME76599 (FL) |
|---|---|
| Addiction Medicine (Internal Medicine) Physician | Taxonomy 207RA0401X · Licence ME76599 (FL) |
Record details
| NPI number | 1457523003 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carmen Vivero — President · (904) 460-0707 |
| NPI enumerated | March 24, 2008 |
| Last updated in NPPES | September 15, 2011 |
| Mailing address | 1301 Plantation Island Dr S, Ste 402-B, St Augustine, FL 32080-3108 |
Other providers in St Augustine
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Matthew Alexander Heckroth, MD
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Dr. Qixia Huang, MD
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-
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