Individual
MILADYS IVETTE FRAGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
4810 US HIGHWAY 92 E, LAKELAND, FL 33801-9494
(941) 444-9540
(863) 377-2849
Mailing address
624 EISENHOWER ST, BARTOW, FL 33830-9707
(606) 585-8523
(941) 444-9540
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
PTC-8019
FL
Other
Enumeration date
10/30/2023
Last updated
11/01/2023
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