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1063486819
CRISOSTOMO V LACANO
ROCKLEDGE, FL
NPI
1063486819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL 29409)
Enumeration Date
2006-02-16
Last Update Date
2014-08-15
Business Address
Dr. CRISOSTOMO V LACANO MD
110 LONGWOOD AVENUE
ROCKLEDGE, FL 32955
Phone number: 321-636-2211
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Mailing Address
Dr. CRISOSTOMO V LACANO MD
PO BOX 919346
ORLANDO, FL 32891-9346
Phone number: 727-896-3134
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