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Organization
THE LAJAS MEDICAL GROUP INC.
Active
Organization
THE LAJAS MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER MANUEL PUPO APRN (PRESIDENT)
(727) 353-3446
Entity
Organization
Contact information
Practice address
6601 MEMORIAL HWY STE 112, TAMPA, FL 33615-4501
(727) 353-3446
(727) 353-3447
Mailing address
6005 N THATCHER AVE, TAMPA, FL 33614-5536
(727) 353-3446
(727) 353-3447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
07/13/2023
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