Individual provider · NPI-1

Ernesto Aguilera, MD

Family Medicine · Lakeland, FL

NPI number1497730170
StatusActive
Last updated in NPPESMar 20, 2012

Details

NPI
1497730170
Entity type
Individual (NPI-1)
Name
Ernesto Aguilera
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 14, 2005
Last updated
Mar 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME 45739FLYes

Practice location

135 E Lst Street
Lakeland, FL 33805-4609

Phone 863-686-2728 · Fax 863-686-6737

Mailing address

135 E 1st St
Lakeland, FL 33805-4609

Phone 863-686-2728 · Fax 863-686-6737

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