Organization
ALVARO J JARQUIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MANCILLAS (OFFICE MANAGER)
(863) 635-4100
Entity
Organization
Contact information
Practice address
205 N SCENIC HWY #300, FROSTPROOF, FL 33843
(863) 635-4100
(863) 635-4499
Mailing address
205-A N SCENIC HWY, #300, FROSTPROOF, FL 33843
(863) 635-4100
(863) 635-4499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME78476
FL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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