DMITRIY MODEL

JACKSONVILLE, FL
NPI1679521488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME88320)
Enumeration Date2006-05-04
Last Update Date2007-07-08
Business Address
Dr. DMITRIY MODEL M.D.
1633 RACE TRACK RD SUITE 1
JACKSONVILLE, FL 32259-4222
Phone number: 904-230-6988
Mailing Address
Dr. DMITRIY MODEL M.D.
1633 RACE TRACK RD SUITE 1
JACKSONVILLE, FL 32259
Phone number: 904-230-6988
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