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Organization
STUART INTERNAL MEDICINE GROUP LLC
Active
Organization
STUART INTERNAL MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA K. BANSAL MD (MEDICAL DIRECTOR)
(772) 283-4093
Entity
Organization
Contact information
Practice address
19 SE OSCEOLA ST, STUART, FL 34994-2125
(772) 283-4093
(772) 283-9874
Mailing address
19 SE OSCEOLA ST, STUART, FL 34994-2125
(772) 283-4093
(772) 283-9874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
207RR0500X
Rheumatology Physician
—
FL
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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