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Individual
NICOLETA KAKAES
Active
Individual
NICOLETA KAKAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018083100
—
FL
01
—
FN65P
BCBS
FL
01
—
IQ882Z
MEDICARE
FL
Enumeration date
06/10/2013
Last updated
09/08/2023
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