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1467590463
FLORIDA INFECTIOUS DISEASE GROUP PA
ORLANDO, FL
NPI
1467590463
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Entity Type
Organization
Authorized Contact
CARMELO M LICITRA
Owner
407-423-1039
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-02-02
Last Update Date
2008-01-02
Business Address
FLORIDA INFECTIOUS DISEASE GROUP PA
1012 LUCERNE TER
ORLANDO, FL 32806-1015
Phone number: 407-423-1039
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Mailing Address
FLORIDA INFECTIOUS DISEASE GROUP PA
PO BOX 568766
ORLANDO, FL 32856-8766
Phone number: 407-423-1039
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