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Organization
MICHAEL BOMBKA LLC
Active
Organization
MICHAEL BOMBKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALLAN BOMBKA (PRESIDENT)
(407) 463-4907
Entity
Organization
Contact information
Practice address
2605 W LAKE MARY BLVD, LAKE MARY, FL 32746-3568
(407) 463-4907
Mailing address
108 HOMESTEAD AVE, DEBARY, FL 32713-3816
(407) 463-4907
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH7297
FL
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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