Individual
RUVESPIERE CADUNGOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3884 HAMPTON HILLS DR, LAKELAND, FL 33810-3839
(504) 729-7619
Mailing address
3884 HAMPTON HILLS DR, LAKELAND, FL 33810-3839
(504) 729-7619
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
L12000052558
FL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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