| Abelardo V. Lacano, Md, Pa | |
|
300 Fortenberry Rd Merritt Island FL 32952-3621 | |
| (321) 452-8410 | |
| (321) 453-4938 |
| Full Name | Abelardo V. Lacano, Md, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 300 Fortenberry Rd, Merritt Island, Florida |
| Authorized Official Name and Position | Abelardo Vasquez Lacano (PRESIDENT) |
| Authorized Official Contact | 3214528410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abelardo V. Lacano, Md, Pa 300 Fortenberry Rd Merritt Island FL 32952-3621 Ph: (321) 452-8410 | Abelardo V. Lacano, Md, Pa 300 Fortenberry Rd Merritt Island FL 32952-3621 Ph: (321) 452-8410 |
| NPI Number | 1871614511 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871614511 | NPI | - | NPPES |
| 05312 | Other | FL | BLUE CROSS BLUE SHIELD |
| 4205733 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME 20168 (Florida) | Primary |
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