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Individual

RUDOLFO A PANGANIBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4807 US HIGHWAY 19 STE 102, NEW PORT RICHEY, FL 34652-4260
(727) 846-7618
(727) 849-7090
Mailing address
4807 US HIGHWAY 19 STE 102, NEW PORT RICHEY, FL 34652-4260
(727) 846-7618
(727) 849-7090

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME0082528
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116236900
FL
Enumeration date
03/03/2006
Last updated
04/22/2024
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