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Individual

DR. ILKA A FAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5555 E MICHIGAN ST, SUITE 102, ORLANDO, FL 32822-2700
(407) 275-9334
Mailing address
5555 E MICHIGAN ST, SUITE 102, ORLANDO, FL 32822-2700
(407) 275-9334

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME89395
FL
2083X0100X
Occupational Medicine Physician
ME89395
FL

Other

Enumeration date
07/27/2006
Last updated
07/13/2011
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