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1205086063
LAKE WORTH MEDICAL PA
GREENACRES, FL
NPI
1205086063
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Entity Type
Organization
Authorized Contact
MARIO BAEZ
Part Owner
561-432-3455
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2008-09-29
Last Update Date
2009-02-06
Business Address
LAKE WORTH MEDICAL PA
2938 JOG RD
GREENACRES, FL 33467-2002
Phone number: 561-432-3455
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Mailing Address
LAKE WORTH MEDICAL PA
2938 JOG RD
GREENACRES, FL 33467-2002
Phone number: 561-432-3455
Copy
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