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Individual
DR. MARY MICHELE LAGORIO
Active
Individual
DR. MARY MICHELE LAGORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS8741
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
20A6812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266515800
—
FL
01
—
291851
AVMED
FL
01
—
57948
BCBS
FL
01
—
99267
BC/BS
FL
01
—
P00204267
RAILROAD MEDICARE
FL
01
—
P00471709
RR MEDICARE
FL
Enumeration date
11/24/2006
Last updated
12/12/2022
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