Most Relevant Information
Provider Data
| NPI Number: | 1003688383 |
| Provider Name: | MILADYS IVETTE FRAGOSO PHLEBOTOMIST |
| Entity Type: | Individual |
| Taxonomy Code: | 246RP1900X |
| Specialty: | Technician, Pathology |
| License Number: | PTC-8019 |
Most Important Dates
| Enumeration Date: | 10/30/2023 |
| Last Updated: | 11/01/2023 |
Provider Practice Location
4810 US HIGHWAY 92 E
LAKELAND
FL
338019494
Practice Location Phone/Fax
| Phone: | 9414449540 |
| Fax: | 8633772849 |
Provider Mailing Location
624 EISENHOWER ST
BARTOW
FL
338309707
Provider Mailing Phone/Fax
| Phone: | 6065858523 |
| Fax: | 9414449540 |