Organization
OUR FAMILY DOCTOR CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA SALEH BOGHDADI M.D. (PRESIDENT)
(813) 907-7680
Entity
Organization
Contact information
Practice address
27348 CASHFORD CIR, WESLEY CHAPEL, FL 33543-8198
(813) 907-7680
(813) 907-2454
Mailing address
PO BOX 48315, TAMPA, FL 33647-0120
(813) 907-7680
(813) 907-2454
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
01/10/2008
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