Organization
ADVANCED INTERNAL MEDICINE CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIO FERNANDO CARDONA M.D (INTERNAL MEDICINE)
(863) 644-3585
Entity
Organization
Contact information
Practice address
5455 S FLORIDA AVE, LAKELAND, FL 33813-2523
(863) 644-3585
(863) 644-3171
Mailing address
5425 S FLORIDA AVE, LAKELAND, FL 33813-2523
(863) 644-3585
(863) 644-3171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
9970043900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000487200
—
FL
Enumeration date
04/14/2009
Last updated
01/05/2024
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