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Organization

HEART OF FLORIDA DIABETES AND ENDOCRINE LLC

Active
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Organization

HEART OF FLORIDA DIABETES AND ENDOCRINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HIBA AL-DABAGH MD (PRESIDENT)
(863) 419-7509
Entity
Organization

Contact information

Practice address
171 WEBB DR, STE 2, DAVENPORT, FL 33837-3944
(863) 419-7509
(863) 419-7824
Mailing address
171 WEBB DR, STE 2, DAVENPORT, FL 33837-3944
(863) 419-7509
(863) 419-7824

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—

Other

Enumeration date
06/04/2010
Last updated
06/04/2010
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