Individual
ALVARO JOSE JARQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4404 S FLORIDA AVE, SUITE 11, LAKELAND, FL 33813-2169
(863) 937-9148
(863) 937-9653
Mailing address
4404 S FLORIDA AVE, SUITE 11, LAKELAND, FL 33813-2169
(863) 937-9148
(863) 937-9653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME78476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257915400
—
FL
Enumeration date
06/20/2005
Last updated
11/18/2013
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