ICMD PA

SUMMERFIELD, FL
NPI1962091520
Entity TypeOrganization
Authorized ContactFARIBORZ DELBAKHSH
Owner, President
352-455-2026
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
ICMD PA
10770 SE 173RD ST
SUMMERFIELD, FL 34491-6851
Phone number: 352-455-2026
Mailing Address
ICMD PA
10770 SE 173RD ST
SUMMERFIELD, FL 34491-6851
Phone number: 352-455-2026