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1043224538
MICHAEL MORGAN DIETCH III
PORT ORANGE, FL
NPI
1043224538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 58573)
Enumeration Date
2006-07-28
Last Update Date
2010-08-20
Business Address
Dr. MICHAEL MORGAN DIETCH III M.D.
3875 S NOVA RD
PORT ORANGE, FL 32127-4950
Phone number: 386-322-9244
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Mailing Address
Dr. MICHAEL MORGAN DIETCH III M.D.
3875 S NOVA RD
PORT ORANGE, FL 32127-4950
Phone number: 386-322-9244
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