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Organization
INDIAN RIVER INTERNAL MEDICINE, LLC
Active
Organization
INDIAN RIVER INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENIO LUIS PRIETO MD (SOLE MANAGING MEMBER)
(772) 581-1881
Entity
Organization
Contact information
Practice address
7935 BAY ST, SUITE 3, SEBASTIAN, FL 32958-3282
(772) 581-1881
(772) 581-1885
Mailing address
7935 BAY ST, SUITE 3, SEBASTIAN, FL 32958-3282
(772) 581-1881
(772) 581-1885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80380
FL
Other
Enumeration date
02/16/2009
Last updated
07/16/2021
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