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1881018703
SUFIAN JABBAR SORATHIA
PORT ORANGE, FL
NPI
1881018703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: FL ME130655)
Enumeration Date
2014-02-12
Last Update Date
2021-01-05
Business Address
SUFIAN JABBAR SORATHIA M.D.
3635 CLYDE MORRIS BLVD STE 100
PORT ORANGE, FL 32129-2349
Phone number: 386-788-1242
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Mailing Address
SUFIAN JABBAR SORATHIA M.D.
4800 BELFORT RD
JACKSONVILLE, FL 32256-6004
Phone number: 904-398-7205
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