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Individual

DR. LISA RENEE-PALKO SPIGUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 265-7999
Mailing address
PO BOX 918025, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036119600
IL
208600000X
Surgery Physician
Primary
ME114421
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007181200
FL
Enumeration date
12/27/2010
Last updated
01/07/2013
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