Eduvigia Ancaya is a Dermatology in Lake Wales, Florida. Eduvigia Ancaya practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Eduvigia Ancaya is 1548217482. The last update date is 2011-05-18.
Eduvigia Ancaya's current location address is 1611 State Road 60 E, Lake Wales, Florida. You can contact this provider via phone number 8636766007 and fax number 8636767659. The mailing address for Eduvigia Ancaya is 1611 State Road 60 E, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eduvigia Ancaya |
|---|---|
| Address | 1611 State Road 60 E, Lake Wales, Florida |
| Phone Number | 8636766007 |
| Fax Number | 8636767659 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548217482 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2011-05-18 |
Provider Mailing Address Detail
| Address | 1611 State Road 60 E |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338534309 |
| Phone Number | 8636766007 |
| Fax Number | 8636767659 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME15606 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3386725 | FL | CIGNA | |
| 53403 | FL | BLUE CROSS BLUE SHIELD FL |
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What is the unique identifier code issued to Eduvigia Ancaya by the Centers for Medicare & Medicaid Services (CMS)?
The Eduvigia Ancaya has been assigned the NPI (National Provider Identifier) 1548217482. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Eduvigia Ancaya is physically located?
The Eduvigia Ancaya is situated at the following address: 1611 State Road 60 E, Lake Wales, FL 338534309.
What is Eduvigia Ancaya's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eduvigia Ancaya is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did Eduvigia Ancaya receive its 1548217482 assignment from the Centers for Medicare & Medicaid Services?
The Eduvigia Ancaya was assigned its 1548217482 on 2006-05-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Eduvigia Ancaya most recently updated or refreshed?
The details pertaining to the Eduvigia Ancaya, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-05-18.
NPI Number: 1376546309
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