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Individual

DR. MATEUSZ ANDRZEJ LAPUCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3318 SW 120TH TER, GAINESVILLE, FL 32608-0232
(337) 371-8163
Mailing address
3318 SW 120TH TER, GAINESVILLE, FL 32608-0232
(337) 371-8163

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19688
NV
208D00000X
General Practice Physician
321700
LA
208D00000X
General Practice Physician
Primary
ME157540
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19688
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
01
321700
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
01
ME157540
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
04/13/2015
Last updated
07/20/2024
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