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JOSE MIGUEL PRO LANDAZURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5106 N ARMENIA AVE, SUITE 2, TAMPA, FL 33603
(813) 877-0423
Mailing address
5106 N ARMENIA AVE, SUITE 2, TAMPA, FL 33603

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32959
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011912200
FL
Enumeration date
10/18/2006
Last updated
07/15/2014
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