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Individual

ANYERI KANIA PEGUERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02092
RI
207R00000X
Internal Medicine Physician
Primary
ME116064
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008996900
FL
Enumeration date
07/01/2010
Last updated
09/03/2013
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