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1336881572
FLORIDA INSTITUTE OF TECHNOLOGY
MELBOURNE, FL
NPI
1336881572
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Entity Type
Organization
Authorized Contact
MOUZON BASS
Administrator/Agent
972-367-4845
Organization Subpart ?
No
Primary Taxonomy
207QS0010X Family Medicine Sports Medicine
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
FLORIDA INSTITUTE OF TECHNOLOGY
150 W UNIVERSITY BLVD
MELBOURNE, FL 32901-8995
Phone number: 972-367-4845
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Mailing Address
FLORIDA INSTITUTE OF TECHNOLOGY
15305 DALLAS PKWY STE 800
ADDISON, TX 75001-6415
Phone number:
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