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Individual
PEDRO C LIPPA
Active
Individual
PEDRO C LIPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME74494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13485
BLUE CROSS/BLUE SHIELD
FL
05
—
263073700
—
FL
01
—
E66212T
MEDICARE
FL
01
—
P00077861
RAILROAD MEDICARE
—
Enumeration date
12/01/2005
Last updated
08/15/2019
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