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Individual
MR. FEDERICO BENGOA
Active
Individual
MR. FEDERICO BENGOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME88345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558364786
NPI
FL
05
—
267631100
—
FL
01
—
290610
AVMED
FL
01
—
81202
BLUE CROSS BLUE SHIELD
FL
01
—
P00058187
RAILROAD MEDICARE
FL
Enumeration date
05/23/2005
Last updated
03/07/2023
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