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Individual
DR. JUAN PEDRO CASADEVALLS
Active
Individual
DR. JUAN PEDRO CASADEVALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 67511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273619500
—
FL
01
—
P00390046
RR MEDICARE
FL
Enumeration date
05/16/2006
Last updated
05/23/2012
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