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1962091520
ICMD PA
SUMMERFIELD, FL
NPI
1962091520
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Entity Type
Organization
Authorized Contact
FARIBORZ DELBAKHSH
Owner, President
352-455-2026
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
ICMD PA
10770 SE 173RD ST
SUMMERFIELD, FL 34491-6851
Phone number: 352-455-2026
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Mailing Address
ICMD PA
10770 SE 173RD ST
SUMMERFIELD, FL 34491-6851
Phone number: 352-455-2026
Copy
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