Organization
INFECTIOUS DISEASE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGNATIUS BAFFOE-BONNIE MD (OWNER)
(863) 682-6686
Entity
Organization
Contact information
Practice address
202 PARKVIEW PL, LAKELAND, FL 33805-4548
(863) 682-6686
(863) 682-5566
Mailing address
PO BOX 91177, LAKELAND, FL 33804-1177
(863) 682-6686
(863) 682-5566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME84089
FL
Other
Enumeration date
09/12/2007
Last updated
09/13/2007
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