Individual
JESULIN BARANDA ALINDOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 N TAMIAMI TRAIL, NOKOMIS, FL 34275
(941) 485-5645
(941) 488-3469
Mailing address
PO BOX 1328, 621 N TAMIAMI TRAIL, NOKOMIS, FL 34275
(941) 485-5654
(941) 488-3469
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME32566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01934
UNIVERSAL
FL
01
—
58356
BC BS
FL
Enumeration date
11/08/2006
Last updated
07/23/2007
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