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1821731753
IDEAL BODY INSTITUTE HUDSON ASC LLC
HUDSON, FL
NPI
1821731753
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Entity Type
Organization
Authorized Contact
CHRISTOPHER IBIKUNLE
Md
678-466-6760
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
IDEAL BODY INSTITUTE HUDSON ASC LLC
14012 US HIGHWAY 19
HUDSON, FL 34667-1165
Phone number: 678-466-6760
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Mailing Address
IDEAL BODY INSTITUTE HUDSON ASC LLC
367 ATHENS HWY STE 100
LOGANVILLE, GA 30052-2207
Phone number: 678-466-6760
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