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Individual

DR. VICTORIA P DIMAYUGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
16 IROQUOIS TRL, ORMOND BEACH, FL 32174-4333
(386) 615-0366
Mailing address
16 IROQUOIS TRL, ORMOND BEACH, FL 32174-4333
(386) 615-0366

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME053185
FL
2084P0805X
Geriatric Psychiatry Physician
ME 053185
FL

Other

Enumeration date
11/08/2005
Last updated
09/20/2010
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