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Individual

MR. DARAYES S. MOBED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
540 W. SAGAMORE AVENUE, BUILDING D, CLEWISTON, FL 33440-3514
(863) 983-5026
(863) 983-2793
Mailing address
540 W. SAGAMORE AVENUE, BUILDING D, CLEWISTON, FL 33440-3514
(863) 983-5026
(863) 983-2793

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME20848
FL
207X00000X
Orthopaedic Surgery Physician
125186
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280857900
FL
Enumeration date
08/02/2005
Last updated
02/24/2011
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