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Individual
GEORGINA MARIA SUAREZ MENDOZA
Active
Individual
GEORGINA MARIA SUAREZ MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
11010403
FL
363LF0000X
Family Nurse Practitioner
Primary
11010403
FL
Other
Enumeration date
12/23/2020
Last updated
12/23/2021
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