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Individual
DR. JUAN E ANGEL
Active
Individual
DR. JUAN E ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236240
RR MEDICARE
FL
05
—
264108900
—
FL
01
—
ME78101
LICENSE NO
FL
Enumeration date
06/15/2006
Last updated
10/27/2015
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