ODELAISYS ENRIQUEZ MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1164916615- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 100 ARRICOLA AVE, ST AUGUSTINE, FL, 320804515
- Phone
- (904) 825-4368
Specialties & Taxonomies
General Practice
License: PR #21065
Internal Medicine
Primary License: FL #ME173164