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Individual

MIGUEL ATILLO ESPIRITU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
304 NE 19TH DR, OKEECHOBEE, FL 34972-1911
(863) 467-0533
(863) 467-4303
Mailing address
304 NE 19TH DR, OKEECHOBEE, FL 34972-1911
(863) 467-0533
(863) 467-4303

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0028374
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066680700
FL
01
180006811
RAILROAD MEDICARE
01
47040
BCBS OF FLORIDA
FL
01
ME0028374
MEDICAL LICENSE NUMBER
FL
Enumeration date
08/31/2006
Last updated
07/06/2012
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