Farmville Internal Medicine Pa

NPI 1710942610 - Clinic/Center - 261QP2300X

NPI Details
NPI 1710942610
Enumeration Date 04/20/2006
Last Updated 04/20/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICARDO ENRIQUE RICARDO
Position PRESIDENT
Phone (252) 753-3193
Fax (252) 753-7966
Practice Location
3485 N MAIN ST
FARMVILLE NC, 27828-1466, US
Phone (252) 753-3193
Fax (252) 753-7966
Business Location
3485 N MAIN ST
FARMVILLE NC, 27828-1466, US
Phone (252) 753-3193
Fax (252) 753-7966
Toxanomy
Taxonomy Code 261QP2300X
License State North Carolina
License Number 200000090
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According to our database, Farmville Internal Medicine Pa NPI is 1710942610, taxonomy code is 261QP2300X and license number is 200000090, license state is located at North Carolina. Farmville Internal Medicine Pa physically located at 3485 N Main St, Farmville NC, 27828-1466. NPI Number 1033115704 has the healthcare provider type.

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1710942610 NPI number is provided on an as is basis without warranty of any kind. 1710942610 is maintained by the National Plan & Provider Enumeration System. The contents of Farmville Internal Medicine Pa are for informational purposes only.