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Organization
MICHAEL A. LEBEDEV, M.D.
Active
Organization
MICHAEL A. LEBEDEV, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEBEDEV M.D. (BOSS)
(863) 967-6673
Entity
Organization
Contact information
Practice address
202 HOWARD ST, STE 2, AUBURNDALE, FL 33823-3431
(863) 967-6673
Mailing address
202 HOWARD ST, STE 2, AUBURNDALE, FL 33823-3431
(863) 967-6673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0050395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048443100
—
FL
Enumeration date
01/09/2015
Last updated
01/09/2015
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