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Individual

BABAK BOROUJERDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3005 DANIELS RD, WINTER GARDEN, FL 34787-7002
(407) 654-4965
Mailing address
9017 DELLA SCALA CIR, ORLANDO, FL 32836-5404
(407) 462-8021

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 9012
FL

Other

Enumeration date
01/17/2006
Last updated
05/07/2014
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