Organization
INTER NAL MEDICINE CLINIC,LLC
Active
Organization
INTER NAL MEDICINE CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RALPH LEO AQUADRO JR. M.D. (PHYSICIAN)
(256) 767-5940
Entity
Organization
Contact information
Practice address
204 ANA DR, SUITE B, FLORENCE, AL 35630-1750
(256) 767-5940
(256) 767-5943
Mailing address
204 ANA DR, SUITE B, FLORENCE, AL 35630-1750
(256) 767-5940
(256) 767-5943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C73688
MARTIN
AL
Enumeration date
10/23/2006
Last updated
08/22/2020
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