MIGUEL J TEPEDINO MD PA
Marriage and Family Therapists in Lake City, FL

License number
Florida ME101844
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MIGUEL J TEPEDINO MD
Title: OWNER
Phone: (352) 316-5465
Address
Address
1717 SW NEWLAND WAY, Lake City, FL 32025
National Provider ID: 1275763427
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Miguel J. Tepedino, M.D., PA

Lake City, FL

Industry:
Medical Doctor's Office
Registration:
Jul 14, 2009
Addresses:
1717 SW Newland Way, Lake City, FL 32025
PO Box 2603, Lake City, FL 32056
State ID:
P09000060069
Business type:
Domestic for Profit Corporation
President, Secretary:
Miguel J. Tepedino (President, Secretary)
Agent:
Jose H. Cortes

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