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Individual

DR. CONCEPCION SORILLA ANAYAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1190 N STONE ST, DELAND, FL 32720-2511
(386) 738-1792
(386) 738-4865
Mailing address
1190 N STONE ST, DELAND, FL 32720-2511
(386) 738-1792
(386) 738-4865

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME47889
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043411600
FL
Enumeration date
10/24/2006
Last updated
12/01/2011
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