Organization
HEART OF FLORIDA DIABETES AND ENDOCRINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIBA AL-DABAGH MD (PRESIDENT)
(863) 419-7509
Entity
Organization
Contact information
Practice address
171 WEBB DR, STE 2, DAVENPORT, FL 33837-3944
(863) 419-7509
(863) 419-7824
Mailing address
171 WEBB DR, STE 2, DAVENPORT, FL 33837-3944
(863) 419-7509
(863) 419-7824
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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