Pedro Ylisastigui. M.D.P.A.
Internal Medicine in Lehigh Acres, FL. Organization (NPI-2).
NPI number1295043552
StatusActive
Last updated in NPPESMar 30, 2011
Details
- NPI
- 1295043552
- Entity type
- Organization (NPI-2)
- Legal business name
- Pedro Ylisastigui. M.D.P.A.
- Organization subpart
- No
- Enumeration date
- Sep 21, 2010
- Last updated
- Mar 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME80423 | FL | Yes |
Practice location
1150 Lee Blvd Ste 4Lehigh Acres, FL 33936-4805
Phone 239-369-9911
Mailing address
1150 Lee Blvd Ste 4Lehigh Acres, FL 33936-4805
Phone 239-369-9911
Authorized official
Pedro Ylisastigui
President
2393699911
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