Individual
JESUS LAURENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME73797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258884600
—
FL
Enumeration date
10/07/2005
Last updated
10/07/2013
Update your record
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