Individual
INES I MBAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 N MILITARY TRL STE 243, BOCA RATON, FL 33431-6362
(561) 496-1095
(561) 948-4473
Mailing address
2900 N MILITARY TRL STE 243, BOCA RATON, FL 33431-6362
(561) 496-1095
(561) 948-4473
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0071414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250601700
—
FL
Enumeration date
11/07/2006
Last updated
11/07/2022
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