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NPI Code Detail

MEDICARE: GEMUEL JASON MALABRIGO SUMAGPANG

MEDICARE: GEMUEL JASON MALABRIGO SUMAGPANG
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
1183500000XPharmacistIR60105131WA

General Provider Information

NPI Number : 1407137227
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEMUEL JASON MALABRIGO SUMAGPANG
Provider Business Mailing Address
First Line : 2900 N COMMERCE PKWY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3959
Country : US
Telephone Number : 888-849-7865
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N COMMERCE PKWY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3959
Country : US
Telephone Number : 888-849-7865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 09/20/2024

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