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Organization
LAKE WORTH MEDICAL PA
Active
Organization
LAKE WORTH MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO BAEZ (PART OWNER)
(561) 432-3455
Entity
Organization
Contact information
Practice address
2938 JOG RD, GREENACRES, FL 33467-2002
(561) 432-3455
(561) 432-8755
Mailing address
2938 JOG RD, GREENACRES, FL 33467-2002
(561) 432-3455
(561) 432-8755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2008
Last updated
02/06/2009
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