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1871780106
WAGID F GUIRGIS
PORT ORANGE, FL
NPI
1871780106
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Entity Type
Organization
Authorized Contact
WAGID F GUIRGIS
Md
386-788-4911
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2007-10-01
Last Update Date
2011-03-18
Business Address
WAGID F GUIRGIS
3953 S NOVA RD
PORT ORANGE, FL 32127-4910
Phone number: 386-788-4911
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Mailing Address
WAGID F GUIRGIS
3953 S NOVA RD
PORT ORANGE, FL 32127-4910
Phone number: 386-788-4911
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