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Individual
HENRY E PAEZ
Active
Individual
HENRY E PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME81996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13041
BCBS
FL
05
—
264312000
—
FL
01
—
P00414262
RR MCR
—
Enumeration date
12/09/2005
Last updated
12/17/2007
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