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Individual

DR. RAFAEL TRESPALACIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01061809A
IN
207W00000X
Ophthalmology Physician
Primary
ME98468
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14672
BCBS OF FL
FL
05
278521800
FL
Enumeration date
05/10/2006
Last updated
10/12/2011
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