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JOHN MELECITO BAGA M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1407090921
Individual Registrant: JOHN MELECITO BAGA M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1720 E VENICE AVE VENICE, FL 34292-3190 US
Tel: 941-483-9700 Fax: --
Tel: 941-483-9700 Fax: --
Contact information for business:
1720 E VENICE AVE VENICE, FL 34292-3190 US
Tel: 941-483-9700 Fax: --
Tel: 941-483-9700 Fax: --
Registration Information:
NPI: 1407090921
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | FL | ME 104215 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
