Organization
ADVANCED INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALUJA VARGHESE MD (OWNER)
(561) 625-9575
Entity
Organization
Contact information
Practice address
601 UNIVERSITY BLVD, SUITE 105, JUPITER, FL 33458
(561) 625-9575
(561) 625-9533
Mailing address
601 UNIVERSITY BOULEVARD, SUITE 105, JUPITER, FL 33458
(561) 625-9575
(561) 625-9533
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
ME85291
FL
207R00000X
Internal Medicine Physician
Primary
ME86718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00083413
PALMETTO MC
FL
Enumeration date
01/24/2007
Last updated
06/20/2011
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