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Organization
INNOVATIVE HEALTH SERVICES, LLC
Active
Organization
INNOVATIVE HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIRAJ UDDIN MD (MEDICAL DIRECTOR)
(727) 490-9096
Entity
Organization
Contact information
Practice address
9677 SEMINOLE BLVD, SEMINOLE, FL 33772-2526
(727) 490-9096
(727) 490-9299
Mailing address
9677 SEMINOLE BLVD, SEMINOLE, FL 33772-2526
(727) 490-9096
(727) 490-9299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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