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Individual

MICHELLE LEE ESTEVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A95002
CA
207R00000X
Internal Medicine Physician
ME110636
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME110636
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003817400
FL
01
14F6N
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/08/2006
Last updated
08/10/2014
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