Organization
JOSE R PRIETO MD PA
Active
Other names
Bay Area Infectious Disease Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEFINA RIVERA (PRACTICE ADMINISTRATOR)
(813) 681-6474
Entity
Organization
Contact information
Practice address
214 MORRISON RD STE 104, BRANDON, FL 33511-4849
(813) 681-6474
Mailing address
214 MORRISON RD STE 104, BRANDON, FL 33511-4849
(813) 681-6474
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269480800
—
FL
Enumeration date
03/16/2007
Last updated
02/20/2020
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