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Individual

BETSY COODUVALLI

Active
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Individual

BETSY COODUVALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS10726
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14M7E
BCBS
FL
01
4583149
CIGNA
FL
Enumeration date
06/07/2012
Last updated
08/15/2019
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