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Individual
VICTOR E. DE LOACH
Active
Individual
VICTOR E. DE LOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.19935
AL
207V00000X
Obstetrics & Gynecology Physician
78151
FL
208D00000X
General Practice Physician
Primary
ME78151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022825500
—
FL
05
—
131855
—
AL
05
—
132989
—
AL
01
—
266278
AVMED
FL
01
—
5474634
AETNA
FL
01
—
58949
FLORIDA BLUE
FL
Enumeration date
10/20/2005
Last updated
06/22/2021
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