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Organization

FDM,PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJIVA GOYAL MD (CEO)
(727) 819-2338
Entity
Organization

Contact information

Practice address
14100 FIVAY RD STE 120, HUDSON, FL 34667-7159
(727) 819-2338
(727) 819-2481
Mailing address
PO BOX 2089, TARPON SPRINGS, FL 34688-2089
(727) 819-2338
(727) 819-2481

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80055
FL

Other

Enumeration date
09/27/2007
Last updated
11/03/2011
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