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1790874717
ALEX FAVELUKES
ORANGE CITY, FL
NPI
1790874717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085N0904X Radiology, Nuclear Radiology
(Licence: FL ME95755)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- ALEX FAVELUKES MD
942 SAXON BLVD STE 1A
ORANGE CITY, FL 32763-8358
Phone number: 386-456-5293
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Mailing Address
-- ALEX FAVELUKES MD
942 SAXON BLVD STE 1A
ORANGE CITY, FL 32763-8358
Phone number: 386-456-5293
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