Individual
PRUDENCIO P AQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2133 S COMBEE RD, STERLING SQUARE, LAKELAND, FL 33801
(863) 666-1366
(863) 667-0497
Mailing address
2133 S COMBEE RD, STERLING SQUARE, LAKELAND, FL 33801
(863) 666-1366
(863) 667-0497
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0027856
FL
Other
Enumeration date
11/30/2006
Last updated
03/21/2019
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