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Individual

MIGUEL J. DE PUIGDORFILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
837 S MAIN ST, WILDWOOD, FL 34785-5302
(505) 900-1476
(352) 753-7141
Mailing address
837 S MAIN ST, WILDWOOD, FL 34785-5302
(505) 900-1476
(352) 753-7141

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4157
FL
171100000X
Acupuncturist
DOM1263
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP4157
MEDICAL LICENSE
FL
Enumeration date
07/27/2020
Last updated
07/15/2021
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