Individual
MARIA ELOISA DEPADUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 MAGNOLIA AVE SW, WINTER HAVEN, FL 33880-2943
(866) 234-8534
(863) 229-7999
Mailing address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3060
(863) 452-3069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378200000
—
FL
Enumeration date
09/09/2005
Last updated
08/31/2022
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