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1821040676
JOSE LUIS MARICHAL
LAKELAND, FL
NPI
1821040676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME0021830)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
-- JOSE LUIS MARICHAL MD
4535 MOUNT VIEW DR
LAKELAND, FL 33813-1757
Phone number: 863-644-9301
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Mailing Address
-- JOSE LUIS MARICHAL MD
4535 MOUNT VIEW DR
LAKELAND, FL 33813-1757
Phone number: 863-644-9301
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