Caribe Id Llc

NPI 1144586629 - Internal Medicine - 207RI0200X

NPI Details
NPI 1144586629
Enumeration Date 04/09/2012
Last Updated 04/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRENT W BRENT
Position PRESIDENT
Phone (727) 669-6800
Fax (727) 669-2540
Practice Location
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED VI, 00820-4435, US
Phone (727) 669-6800
Fax (727) 669-2540
Business Location
1840 MEASE DRIVE
SUITE 319
SAFETY HARBOR FL, 34695-6605, US
Phone (727) 669-6800
Fax (727) 669-2540
Toxanomy
Taxonomy Code 207RI0200X
License State
License Number
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According to our database, Caribe Id Llc NPI is 1144586629, taxonomy code is 207RI0200X Caribe Id Llc physically located at 4007 Estate Diamond Ruby, Christiansted VI, 00820-4435. NPI Number 1033115704 has the healthcare provider type.

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1144586629 NPI number is provided on an as is basis without warranty of any kind. 1144586629 is maintained by the National Plan & Provider Enumeration System. The contents of Caribe Id Llc are for informational purposes only.