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Organization
LAB DOCTOR
Active
Organization
LAB DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IWONA M PIKOR (OFFICE MANAGER)
(854) 822-6331
Entity
Organization
Contact information
Practice address
1425 SE 17TH ST STE A, FORT LAUDERDALE, FL 33316-1727
(954) 530-4447
Mailing address
1425 SE 17TH ST STE A, FORT LAUDERDALE, FL 33316-1727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME52542
FL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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