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Individual

DR. EMILIA BALSOZA PACARIEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1308 SE 25TH LOOP, STE 104, OCALA, FL 34471-1028
(352) 351-1164
(352) 351-0556
Mailing address
1308 SE 25TH LOOP, STE 104, OCALA, FL 34471-1028
(352) 351-1164
(352) 351-0556

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME29831
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039896900
FL
Enumeration date
04/03/2006
Last updated
10/24/2011
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