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Individual
DR. FASIKA AMBACHEW WORETA
Active
Individual
DR. FASIKA AMBACHEW WORETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20983
MD
207W00000X
Ophthalmology Physician
Primary
D74786
MD
207W00000X
Ophthalmology Physician
ME109264
FL
Other
Enumeration date
06/11/2007
Last updated
05/28/2019
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