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NPI Code Detail

MEDICARE: DR. MABEL Z ECHEANDIA M.D

MEDICARE:  DR. MABEL Z ECHEANDIA  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME67229FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22460787OTHERAETNA
326396OTHERBLUE CROSS BLUE SHIELD
46046OTHERFOUNDATION
54769154007OTHERCIGNA
6280840OTHERAVMED
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063565471
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MABEL Z ECHEANDIA M.D
Provider Business Mailing Address
First Line : 12880 US HIGHWAY 301
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5801
Country : US
Telephone Number : 813-492-5732
Fax Number : 813-715-7261
Provider Business Practice Location Address
First Line : 12880 US HIGHWAY 301
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5801
Country : US
Telephone Number : 813-492-5732
Fax Number : 813-715-7261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 04/18/2023

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Directions to “ DR. MABEL Z ECHEANDIA M.D” Practice Location

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