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Individual
DR. MADELYN MEZQUITA
Active
Individual
DR. MADELYN MEZQUITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
53509-020
WI
208D00000X
General Practice Physician
Primary
ACN 344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003372100
—
FL
Enumeration date
06/03/2010
Last updated
02/28/2020
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