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1861752784
INTRACOASTAL MEDICAL PRIMARY HEALTH CARE, INC
FORT LAUDERDALE, FL
NPI
1861752784
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Entity Type
Organization
Authorized Contact
HARISH CHOWDARY
Dpst
786-302-4902
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-05-24
Last Update Date
2013-06-17
Business Address
INTRACOASTAL MEDICAL PRIMARY HEALTH CARE, INC
935 INTRACOASTAL DR SUITE 1
FORT LAUDERDALE, FL 33304-3623
Phone number: 954-561-6252
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Mailing Address
INTRACOASTAL MEDICAL PRIMARY HEALTH CARE, INC
935 INTRACOASTAL DR SUITE 1
FORT LAUDERDALE, FL 33304-3623
Phone number: 954-561-6252
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