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1750303699
IVAN JARED WORTMAN
KISSIMMEE, FL
NPI
1750303699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME0063259)
Enumeration Date
2006-07-23
Last Update Date
2007-07-08
Business Address
Dr. IVAN JARED WORTMAN M.D.
7848 W IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL 34747-1729
Phone number: 407-397-7032
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Mailing Address
Dr. IVAN JARED WORTMAN M.D.
6129 LINNEAL BEACH DR
APOPKA, FL 32703-7807
Phone number: 407-299-2055
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