Nicolas Gabriel Bezares Oliveras, MD
Internal Medicine in Lake Mary, FL. Individual provider (NPI-1).
NPI number1659950152
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1659950152
- Entity type
- Individual (NPI-1)
- Name
- Nicolas Gabriel Bezares Oliveras
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2021
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME165207 | FL | Yes |
Practice location
525 Technology Park Ste 109Lake Mary, FL 32746-7107
Phone 407-647-2346
Mailing address
11375 Cortez BlvdBrooksville, FL 34613-5409
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