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Individual

LUISA MARIA INDIVIGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5130 LINTON BLVD, SUITE H1, DELRAY BEACH, FL 33484-6596
(561) 498-8891
Mailing address
5130 LINTON BLVD, SUITE H1, DELRAY BEACH, FL 33484-6596
(561) 498-8891

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109853
FL

Other

Enumeration date
12/01/2016
Last updated
04/02/2017
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