| Institute Of Internal Medicine P A | |
|
1301 Plantation Island Dr S Ste 402b St Augustine FL 32080-3108 | |
| (904) 460-0707 | |
| Not Available |
| Full Name | Institute Of Internal Medicine P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Plantation Island Dr S, St Augustine, Florida |
| Authorized Official Name and Position | Carmen C Vivero (PRESIDENT) |
| Authorized Official Contact | 9044600707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Internal Medicine P A 1301 Plantation Island Dr S Ste 402-b St Augustine FL 32080-3108 Ph: (904) 460-0707 | Institute Of Internal Medicine P A 1301 Plantation Island Dr S Ste 402b St Augustine FL 32080-3108 Ph: (904) 460-0707 |
| NPI Number | 1457523003 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457523003 | NPI | - | NPPES |
| DN9360 | Other | FL | RR MEDICARE |
| 44784 | Other | FL | BCBS |
| 003271700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME76599 (Florida) | Primary |
| 207RA0401X | Internal Medicine - Addiction Medicine | ME76599 (Florida) | Secondary |
Mainland Physicians Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Arricola Ave, St Augustine, FL 32080 Phone: 904-825-4368 Fax: 904-825-9107 | |
Flagler Professional Health Care Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Palencia Village Dr Ste 107, St Augustine, FL 32095 Phone: 904-819-3200 Fax: 904-819-3201 | |
Hospitalist Medicine Physicians Of Mississippi-tcs, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 615-377-5658 | |
Crescent Beach Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6573 A1a South, St Augustine, FL 32080 Phone: 904-342-7363 Fax: 904-342-7367 | |
Fm Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Southpark Blvd, Suite C & D, St Augustine, FL 32086 Phone: 904-823-8833 Fax: 904-823-9394 | |
David B. Goldberg, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 A1a S, St Augustine, FL 32080 Phone: 904-461-5080 Fax: 904-217-0840 | |
Family Medical Care Of St Augustine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-7773 |