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Organization
INGRID ZUMARAN MDPA
Active
Organization
INGRID ZUMARAN MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN O DZIUBINSKI (ADMINISTRATOR)
(727) 394-1500
Entity
Organization
Contact information
Practice address
9555 SEMINOLE BLVD, STE 104, SEMINOLE, FL 33772-2562
(727) 394-1500
(727) 394-1505
Mailing address
9555 SEMINOLE BLVD, STE 104, SEMINOLE, FL 33772-2562
(727) 394-1500
(727) 394-1505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2006
Last updated
08/22/2020
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