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Individual

JEFFREY DISINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6831 NW 20TH AVE, STE 104, FT. LAUDERDALE, FL 33308
(561) 302-9186
Mailing address
3583E SOUTH FEDERAL HWY, BOYNTON BEACH, FL 33435
(561) 302-9186

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
12/04/2015
Last updated
12/04/2015
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