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Individual
MATEUSZ JAKUB ZAGATA
Active
Individual
MATEUSZ JAKUB ZAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
54825
WI
207Q00000X
Family Medicine Physician
Primary
ME 122877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16405800
—
FL
01
—
HBTWQ
BCBS FL
FL
01
—
M8052
FL MEDICARE
FL
Enumeration date
04/28/2009
Last updated
01/12/2021
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