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1073549358
ALLAN JAY BIRNBAUM
PORT SAINT LUCIE, FL
NPI
1073549358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL OS4258)
Enumeration Date
2006-06-25
Last Update Date
2014-03-20
Business Address
Dr. ALLAN JAY BIRNBAUM D.O.
1701 SE HILLMOOR DR SUITE #5
PORT SAINT LUCIE, FL 34952-7552
Phone number: 772-485-7507
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Mailing Address
Dr. ALLAN JAY BIRNBAUM D.O.
1701 SE HILLMOOR DR SUITE #5
PORT SAINT LUCIE, FL 34952-7552
Phone number: 772-485-7507
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