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1477883965
GINCY LIZ KANDANKULAM
WELLINGTON, FL
NPI
1477883965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 121147)
Enumeration Date
2010-01-05
Last Update Date
2022-04-11
Business Address
GINCY LIZ KANDANKULAM M.D.
2465 S STATE ROAD 7 STE 800
WELLINGTON, FL 33414-9348
Phone number: 561-784-4930
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Mailing Address
GINCY LIZ KANDANKULAM M.D.
8200 S JOG RD SUITE 102
BOYNTON BEACH, FL 33472-2981
Phone number: 561-784-4930
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