Luis Emilio Baltodano MD

NPI 1013989250 - Family Medicine - 207Q00000X

NPI Details
NPI 1013989250
Gender Male
Enumeration Date 02/02/2006
Last Updated 06/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 LAKELAND HILLS BLVD
LAKELAND FL, 33805, US
Phone (863) 680-7000
Fax (866) 264-8519
Business Location
PO BOX 95004
LAKELAND FL, 33804-5004, US
Phone (863) 680-7000
Fax (863) 680-7420
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME69938
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According to our database, Luis Emilio Baltodano MD NPI is 1013989250, taxonomy code is 207Q00000X and license number is ME69938, license state is located at Florida. Luis Emilio Baltodano MD physically located at 1600 Lakeland Hills Blvd, Lakeland FL, 33805. NPI Number Luis Emilio Baltodano MD has the Individual type.

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1013989250 NPI number is provided on an as is basis without warranty of any kind. 1013989250 is maintained by the National Plan & Provider Enumeration System. The contents of Luis Emilio Baltodano MD are for informational purposes only.