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Individual

DR. MAGED DOSS FARID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 S WICKHAM RD, WEST MELBOURNE, FL 32904-1134
(321) 752-5210
(321) 752-5388
Mailing address
250 S WICKHAM RD, WEST MELBOURNE, FL 32904-1134
(321) 752-5210
(321) 752-5388

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81059
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259807800
FL
Enumeration date
11/20/2006
Last updated
07/21/2021
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