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MALIKA M CHACON LMT

>> Point of Service >> Managed Care Organizations

Registrant NPI Number: 1437403607

Individual Registrant:
 MALIKA M CHACON LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
14616 NW 140TH ST  ALACHUA, FL 32615-6261 US
Tel: 352-317-4713  Fax: --

Contact information for business:
15092 NW 147TH DR  ALACHUA, FL 32615-5305 US
Tel: 352-317-4713  Fax: --

Registration Information:
NPI: 1437403607
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y305S00000XManaged Care Organizations
Point of Service
FLMA57939

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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