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1033747225
EZRA FOX
FT LAUDERDALE, FL
NPI
1033747225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS19328)
Enumeration Date
2020-04-01
Last Update Date
2024-06-03
Business Address
EZRA FOX
1100 E BROWARD BLVD
FT LAUDERDALE, FL 33301-2012
Phone number: 954-463-5271
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Mailing Address
EZRA FOX
2952 W BIRCHWOOD AVE
CHICAGO, IL 60645-1220
Phone number: 773-465-4238
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