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Individual

DR. LANCE IVAN CHODOSH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4340 W NEWBERRY RD, #201, GAINESVILLE, FL 32607-2586
(352) 372-3360
(352) 372-3776
Mailing address
4340 W NEWBERRY RD, #201, GAINESVILLE, FL 32607-2586
(352) 372-3360
(352) 372-3776

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
ME0021240
FL

Other

Enumeration date
01/25/2006
Last updated
07/08/2007
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