| Doctor Name: | PRUDENCIO P AQUI |
| NPI Number: | 1174690358 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME0027856 |
| Business Practice Address: | 2133 S Combee Rd Sterling Square Lakeland, FL - 33801 |
| Business Phone Number: | 8636661366 |
| Business Fax Number: | 8636670497 |
| Mailing Address: | 2133 S Combee Rd, Sterling Square LAKELAND |
| State: | FL |
| Postal Code: | 33801 |
| Phone Number: | 8636661366 |
| Fax Number: | 8636670497 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 07/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0027856 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |