Marcela Jativa M.D.

NPI 1699942821 - Pediatrics - 208000000X

NPI Details
NPI 1699942821
Gender Female
Enumeration Date 05/16/2008
Last Updated 10/27/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1356 STATE ROAD 60 E
LAKE WALES FL, 33853-4322, US
Phone (863) 679-8888
Fax
Business Location
1356 STATE ROAD 60 E
LAKE WALES FL, 33853-4322, US
Phone (863) 679-8888
Fax
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME109816
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According to our database, Marcela Jativa M.D. NPI is 1699942821, taxonomy code is 208000000X and license number is ME109816, license state is located at Florida. Marcela Jativa M.D. physically located at 1356 State Road 60 E, Lake Wales FL, 33853-4322. NPI Number Marcela Jativa M.D. has the Individual type.

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1699942821 NPI number is provided on an as is basis without warranty of any kind. 1699942821 is maintained by the National Plan & Provider Enumeration System. The contents of Marcela Jativa M.D. are for informational purposes only.