Individual
JOSE JAVIER AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1745 LAKELAND HILLS BLVD, LAKELAND, FL 33805
(863) 688-0576
(863) 686-5907
Mailing address
1745 LAKELAND HILLS BLVD, LAKELAND, FL 33805
(863) 688-0576
(863) 686-5907
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME74725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262845700
—
FL
Enumeration date
09/15/2006
Last updated
03/07/2023
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