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Organization
OCEAN CEDAR CLINIC P A
Active
Organization
OCEAN CEDAR CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITKO BADOV M.D. (PRESIDENT)
(863) 660-3783
Entity
Organization
Contact information
Practice address
4957 ELON CRES, LAKELAND, FL 33810-3718
(863) 660-3783
Mailing address
PO BOX 3636, BRANDON, FL 33509-3636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
06/02/2008
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