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1942705330
FANNY POLYDOROFF
MIAMI, FL
NPI
1942705330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0100X Registered Nurse, Gastroenterology
(Licence: FL 9224472)
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
Ms. FANNY POLYDOROFF
1201 N.W. 16TH STREET
MIAMI, FL 33125
Phone number: 305-575-7000
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Mailing Address
Ms. FANNY POLYDOROFF
841 TANGIER STREET
CORAL GABLES, FL 33134
Phone number: 239-898-3089
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