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Individual
DIEGO FERNANDO JATIVA
Active
Individual
DIEGO FERNANDO JATIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109233
AMERIGROUP
FL
01
—
197020
CHIRO ALLIANCE CORP.
FL
05
—
381779200
—
FL
01
—
53968
BLUE CROSS BLUE SHIELD
FL
01
—
7443014
AETNA
FL
01
—
9705808
CIGNA
FL
Enumeration date
12/15/2006
Last updated
03/27/2014
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