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Individual

RAUL ORDORICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G62037
CA
208800000X
Urology Physician
ME73752
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253819900
FL
01
42557
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/20/2006
Last updated
11/22/2021
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