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Individual

BENITO R LAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8100 WEST FLAGLER ST, SUITE 202, MIAMI, FL 33144-2155
(305) 265-7517
Mailing address
8100 WEST FLAGLER ST, SUITE 202, MIAMI, FL 33144-2155
(305) 265-7517

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME44913
FL

Other

Enumeration date
09/28/2007
Last updated
09/28/2007
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