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Individual

DR. VICTOR G. GHOBRIAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 2ND ST E, SUITE 3A, BRADENTON, FL 34208-1029
(941) 746-7444
(941) 746-1777
Mailing address
PO BOX 1289, BRADENTON, FL 34206-1289
(941) 746-7444
(941) 746-1777

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME87238
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203296732
TAX ID
FL
05
268871900
FL
01
37741
BCBS OF FL
FL
01
DF1789
RR MEDICARE
Enumeration date
05/23/2005
Last updated
11/23/2010
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