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Individual
MITKO MITOV BADOV
Active
Individual
MITKO MITOV BADOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 91488
FL
208M00000X
Hospitalist Physician
Primary
ME91488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000820900
—
FL
05
—
2721431 00
—
FL
01
—
30021
BCBSFL
FL
Enumeration date
12/01/2005
Last updated
03/24/2021
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