Individual
MARITESS GARCIA DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5950 HIGH ST, NEW PORT RICHEY, FL 34652
(727) 842-4848
(727) 842-9513
Mailing address
5950 HIGH ST, NEW PORT RICHEY, FL 34652
(727) 842-4848
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME54869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051285100
—
FL
Enumeration date
02/23/2006
Last updated
03/28/2018
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