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Organization
ICMD PA
Active
Organization
ICMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBORZ DELBAKHSH MD (OWNER, PRESIDENT)
(352) 455-2026
Entity
Organization
Contact information
Practice address
10770 SE 173RD ST, SUMMERFIELD, FL 34491-6851
(352) 455-2026
(352) 748-2700
Mailing address
10770 SE 173RD ST, SUMMERFIELD, FL 34491-6851
(352) 455-2026
(352) 748-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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