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Dr. Leiden Ezequiel Gonzalez Pimentel, MD
General Practice Physician in Lakeland, Florida
NPI 1801198791

Leiden Ezequiel Gonzalez Pimentel is a General Practice Physician based in Lakeland, FL. Leiden Ezequiel Gonzalez Pimentel practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Leiden Ezequiel Gonzalez Pimentel is 1801198791 and holds a License No. 18095 (Florida).

The current practice location address for Leiden Ezequiel Gonzalez Pimentel is 5425 S Florida Ave, Lakeland, FL and can be reached out via phone at 863-644-3585 and via fax at 863-644-3171.

Location: 5425 S Florida Ave, Lakeland, FL, 33813-2523
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Provider Profile Details
NPI Number
1801198791
Provider Name
Leiden Ezequiel Gonzalez Pimentel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5425 S Florida Ave, Lakeland, FL, 33813-2523
Phone Number
863-644-3585
Fax Number
863-644-3171
Provider Enumeration Date
11/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18095 01 PR PR LICENSE
ACN688 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
5425 S Florida Ave
City
State
Zip
33813-2523
Phone Number
863-644-3585
Fax Number
863-644-3171
person
Provider Business Mailing Address Details
Address
5425 S Florida Ave
City
State
Zip
33813-2523
Phone Number
863-644-3585
Fax Number
863-644-3171
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
18095 ()
Definition
Definition to come...
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