Institute of Internal Medicine P a
NPI #1457523003 in St Augustine, Florida
Provider Information
- NPI Number
- 1457523003
- Entity Type
- Organization
- Organization Name
- Institute of Internal Medicine P a
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Mar 24, 2008
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 1301 PLANTATION ISLAND DR S
- Address 2
- STE 402B
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32080-3108
- Phone
- (904) 460-0707
Authorized Official
- Name
- CARMEN C VIVERO, MD
- Title
- PRESIDENT
- Phone
- (904) 460-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Addiction Medicine — Addiction Medicine |
| Internal Medicine |
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