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1588636393
AGUSTIN R TAVARES
LAKELAND, FL
NPI
1588636393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME80714)
Enumeration Date
2006-02-06
Last Update Date
2023-11-27
Business Address
AGUSTIN R TAVARES MD
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Phone number: 863-680-7190
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Mailing Address
AGUSTIN R TAVARES MD
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7000
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