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General NPI Number Information
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NPI Number | 1225641749
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Entity Type | Organization
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Legal Business Name | MARTIN AGUERO, MD PLLC
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 01/07/2023
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Provider Practice Location Address
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Address Line | 3005 CARING WAY STE 3
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5304
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Country | US
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Telephone | 863-417-7117
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Fax | 863-884-1247
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Provider Business Mailing Address
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Address Line | 25193 ROSAMOND CT
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City | PUNTA GORDA
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State | FL
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Zip | 33983-5934
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Country | US
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Telephone | 939-242-5987
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MARTIN FRANCISCO AGUERO
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Credential | MD
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Telephone | 863-417-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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