Stuart Internal Medicine Group Llc | |
19 Se Osceola St Stuart FL 34994-2125 | |
(772) 283-4093 | |
(772) 283-9874 |
Full Name | Stuart Internal Medicine Group Llc |
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Speciality | Internal Medicine |
Location | 19 Se Osceola St, Stuart, Florida |
Authorized Official Name and Position | Rajendra K. Bansal (MEDICAL DIRECTOR) |
Authorized Official Contact | 7722834093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stuart Internal Medicine Group Llc 19 Se Osceola St Stuart FL 34994-2125 Ph: (772) 283-4093 | Stuart Internal Medicine Group Llc 19 Se Osceola St Stuart FL 34994-2125 Ph: (772) 283-4093 |
NPI Number | 1972764223 |
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Provider Enumeration Date | 06/19/2008 |
Last Update Date | 06/19/2008 |
Identifier | Type | State | Issuer |
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1972764223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Florida) | Secondary |
207R00000X | Internal Medicine | (Florida) | Primary |
207RR0500X | Internal Medicine - Rheumatology | (Florida) | Secondary |
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