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Organization
BORN AGAIN DOCTOR LLC
Active
Organization
BORN AGAIN DOCTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUALEH ASHRAF MD (OWNER)
(407) 645-1847
Entity
Organization
Contact information
Practice address
10671 EMERALD CHASE DR, ORLANDO, FL 32836-5855
(407) 645-1847
(407) 978-6507
Mailing address
10671 EMERALD CHASE DR, ORLANDO, FL 32836-5855
(407) 645-1847
(407) 978-6507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME83798
FL
207RC0000X
Cardiovascular Disease Physician
ME83798
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME83798
FL
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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