Individual
DR. TRISTAN HULAR PANGILINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 NE 19TH DR, OKEECHOBEE, FL 34972-1932
(863) 467-7666
(863) 467-1087
Mailing address
200 NE 19TH DR, OKEECHOBEE, FL 34972-1932
(863) 467-7666
(863) 467-1087
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME053071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486582-00
—
FL
01
—
ME0053071
FL DEPT OF HEALTH
FL
Enumeration date
08/21/2006
Last updated
08/09/2019
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