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Individual

MIGUEL JOSE SAGARDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
102 POMONA DR, GREENSBORO, NC 27407
(336) 299-0000
Mailing address
907 TROUBLESOME CREEK DR, GREENSBORO, NC 27455-8321
(954) 609-2803

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME55187
FL
207R00000X
Internal Medicine Physician
Primary
2017-02301
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036419300
FL
01
09245
BCBS
FL
Enumeration date
01/11/2006
Last updated
06/04/2018
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