Carlos A Vizcarra MD PA
Internal Medicine in Sebastian, FL. Organization (NPI-2).
NPI number1437248754
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1437248754
- Entity type
- Organization (NPI-2)
- Legal business name
- Carlos A Vizcarra MD PA
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME 931719 | FL | Yes |
Practice location
13837 Us Highway 1Sebastian, FL 32958-3232
Phone 772-589-9188 · Fax 772-589-9187
Mailing address
3897 Peacock DrMelbourne, FL 32904-9516
Phone 321-373-1160
Authorized official
Carlos Andres Vizcarra
President
7725899188
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