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Organization

NEY F ANDUJAR, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEY F ANDUJAR MD (OWNER)
(772) 905-8531
Entity
Organization

Contact information

Practice address
1401 SE GOLDTREE DR STE 104, PORT ST LUCIE, FL 34952-7584
(772) 905-8531
(772) 905-8526
Mailing address
1401 SE GOLDTREE DR STE 104, PORT ST LUCIE, FL 34952-7584
(772) 905-8531
(772) 905-8526

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80487
FL

Other

Enumeration date
06/29/2006
Last updated
10/10/2014
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