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Organization
IDL MEDICAL PA
Active
Organization
IDL MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA GOROKHOVKSY D.O. (PRESIDENT)
(305) 725-5529
Entity
Organization
Contact information
Practice address
8767 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33472-4479
(561) 734-5484
(561) 734-5485
Mailing address
8767 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33472-4479
(561) 734-5484
(561) 734-5485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
06/14/2023
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