Individual
MR. IVAN L NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
846 NE 54TH TERRACE, COLEMAN, FL 33521
(352) 689-3018
Mailing address
4084 GREYSTONE DR, CLERMONT, FL 34711-5370
(352) 394-1135
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13274
PR
Other
Enumeration date
06/21/2006
Last updated
07/21/2022
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