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1679521488
DMITRIY MODEL
JACKSONVILLE, FL
NPI
1679521488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME88320)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
Dr. DMITRIY MODEL M.D.
1633 RACE TRACK RD SUITE 1
JACKSONVILLE, FL 32259-4222
Phone number: 904-230-6988
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Mailing Address
Dr. DMITRIY MODEL M.D.
1633 RACE TRACK RD SUITE 1
JACKSONVILLE, FL 32259
Phone number: 904-230-6988
Copy
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