Individual
ERNESTO AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 E LST STREET, LAKELAND, FL 33805-4609
(863) 686-2728
(863) 686-6737
Mailing address
135 E 1ST ST, LAKELAND, FL 33805-4609
(863) 686-2728
(863) 686-6737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 45739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062729100
—
FL
Enumeration date
12/14/2005
Last updated
03/20/2012
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