Organization
JOSE R PRIETO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA KOWALSKI (HR)
(630) 655-7290
Entity
Organization
Contact information
Practice address
214 MORRISON RD STE 104, BRANDON, FL 33511-4849
(813) 681-6474
(813) 654-8473
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-7290
(630) 734-4685
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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