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1841474103
MID-FLORIDA GASTROENTEROLOGY GROUP P A
SANFORD, FL
NPI
1841474103
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Entity Type
Organization
Authorized Contact
LENKALA REDDY MALLAIAH
President
407-321-4570
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME0037029)
Enumeration Date
2007-12-21
Last Update Date
2010-09-20
Business Address
MID-FLORIDA GASTROENTEROLOGY GROUP P A
311 N MANGOUSTINE AVE
SANFORD, FL 32771-1098
Phone number: 407-321-4570
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Mailing Address
MID-FLORIDA GASTROENTEROLOGY GROUP P A
311 N MANGOUSTINE AVE
SANFORD, FL 32771-1098
Phone number: 407-321-4570
Copy
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