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1366484347
MELECITO E BAGA
VENICE, FL
NPI
1366484347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME0032369)
Enumeration Date
2006-06-12
Last Update Date
2010-05-14
Business Address
-- MELECITO E BAGA M.D.
512 NOKOMIS AVE S
VENICE, FL 34285-2817
Phone number: 941-488-7781
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Mailing Address
-- MELECITO E BAGA M.D.
PO BOX 1508
VENICE, FL 34284-1508
Phone number: 941-488-7781
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