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Individual

DR. HARRY R CUEVAS BOCANEGRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4445 S SEMORAN BLVD, ORLANDO, FL 32822-2469
(407) 203-8957
(855) 296-8047
Mailing address
4445 S SEMORAN BLVD, ORLANDO, FL 32822-2469
(407) 203-8957
(855) 296-8047

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
9694
PR
208000000X
Pediatrics Physician
Primary
ACN530
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ACN530
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010204300
FL
Enumeration date
03/21/2006
Last updated
11/11/2020
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