Individual
DR. FABIO LEON ECHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1715 E HWY 50, BUILDING 3, SUITE C, CLERMONT, FL 34711-5187
(352) 243-7495
(352) 243-7498
Mailing address
PO BOX 121373, CLERMONT, FL 34712-1373
(352) 243-7495
(352) 243-7498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0077560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110237691
MEDICARE RAILROAD
FL
05
—
257964200
—
FL
Enumeration date
07/06/2005
Last updated
01/23/2008
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