Individual
DR. ENRIQUE VIA-REQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 BROTHER GEENEN WAY, SARASOTA, FL 34236-7102
(941) 556-3233
(941) 955-8214
Mailing address
1900 BROTHER GEENEN WAY, SARASOTA, FL 34236-7102
(941) 556-3233
(941) 955-8214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
LL784
FL
207R00000X
Internal Medicine Physician
Primary
LL784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017323800
—
FL
Enumeration date
10/12/2006
Last updated
05/31/2016
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