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Individual
OXANA V DOUGLAS
Active
Individual
OXANA V DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42939
AZ
207Q00000X
Family Medicine Physician
Primary
ME119711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013496000
—
FL
01
—
14X36
BCBS
FL
01
—
HZ163Y
MEDICARE
FL
Enumeration date
06/19/2007
Last updated
11/07/2018
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