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Individual

DR. AHMED ABDELMONEM GHONIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(352) 222-3411
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PS50512
FL

Other

Enumeration date
06/06/2013
Last updated
07/12/2013
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