Organization
INTERNAL MEDICINE INSTITUTE OF SOUTH FL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO FREIRE M.D. (MEDICAL DIRECTOR)
(239) 304-9071
Entity
Organization
Contact information
Practice address
12264 TAMIAMI TRL E STE 203, NAPLES, FL 34113-7942
(239) 304-9071
(239) 304-9320
Mailing address
4061 BONITA BEACH RD STE 101, BONITA SPRINGS, FL 34134-4073
(239) 304-9071
(239) 304-9320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME109303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005826000
—
FL
01
—
14HA1
BC& BS
FL
Enumeration date
06/20/2014
Last updated
06/20/2014
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