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1396903696
ISWANTO SUCANDY
TAMPA, FL
NPI
1396903696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: FL ME129245)
Enumeration Date
2008-05-23
Last Update Date
2016-07-31
Business Address
-- ISWANTO SUCANDY M.D
3000 MEDICAL PARK DR SUITE 500
TAMPA, FL 33613-4680
Phone number: 551-574-0076
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Mailing Address
-- ISWANTO SUCANDY M.D
3000 MEDICAL PARK DR SUITE 500
TAMPA, FL 33613-4680
Phone number: 551-574-0076
Copy
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