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Organization
AVE MARIA HOSPITALIST GROUP LLC
Active
Organization
AVE MARIA HOSPITALIST GROUP LLC
Active
Other names
Ave Maria Hospitalist Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL ENAD MD (PRESIDENT)
(239) 322-0917
Entity
Organization
Contact information
Practice address
5080 ANNUNCIATION CIR UNIT 103, AVE MARIA, FL 34142-9655
(239) 322-0917
Mailing address
5080 ANNUNCIATION CIR UNIT 103, AVE MARIA, FL 34142-9655
(239) 322-0917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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