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1457696601
MD 2 GO LLC
PORT SAINT LUCIE, FL
NPI
1457696601
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Entity Type
Organization
Authorized Contact
DWIGHT G DAWKINS
Owner
772-337-9473
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
MD 2 GO LLC
1801 SE HILLMOOR DR B109
PORT SAINT LUCIE, FL 34952-7553
Phone number: 772-337-9473
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Mailing Address
MD 2 GO LLC
1801 SE HILLMOOR DR B109
PORT SAINT LUCIE, FL 34952-7553
Phone number: 772-337-9473
Copy
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