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Organization
JUANITO R CORPUS MD
Active
Organization
JUANITO R CORPUS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBY P CORPUS (OFFICE MANAGER)
(863) 773-5039
Entity
Organization
Contact information
Practice address
1002 S 9TH AVE, WAUCHULA, FL 33873-3404
(863) 773-5039
(863) 773-6490
Mailing address
1002 S 9TH AVE, WAUCHULA, FL 33873-3404
(863) 773-5039
(863) 773-6490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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