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NPI 1548217482 · live from the CMS NPI Registry

Eduvigia Ancaya, M.D.

Dermatology in Lake Wales, FL. National Provider Identifier 1548217482, active.

NPI record

NPI1548217482 Type 1 · individual
StatusActive
Primary specialtyDermatology 207N00000X
Practice location1611 State Road 60 E, Lake Wales, FL 33853
Practice phone863-676-6007
EnumeratedMay 27, 2006
Last updatedMay 18, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000XME15606 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.