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Organization
INTERNAL MEDICINE INSTITUTE
Active
Organization
INTERNAL MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENIGNO FELICIANO M.D. (PRESIDENT)
(863) 679-2984
Entity
Organization
Contact information
Practice address
1109 BRYN MAWR AVE, LAKE WALES, FL 33853-4333
(863) 679-2984
Mailing address
1109 BRYN MAWR AVE, LAKE WALES, FL 33853-4333
(863) 679-2984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270356400
—
FL
Enumeration date
07/09/2008
Last updated
01/24/2017
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