| NPI | 1770791741 |
|---|---|
| Doing Business As | COCOA BEACH INTERNAL MEDICINE ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | SANTIAGO M LEYTE VIDAL Managing Member 321-783-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-30 |