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Organization

LIGHTHOUSE POINT OB/GYN,PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADIB A CHIDIAC (M.D.)
(954) 781-0180
Entity
Organization

Contact information

Practice address
601 E SAMPLE RD, SUITE 103, POMPANO BEACH, FL 33064-4443
(954) 781-0180
(954) 781-3230
Mailing address
601 E SAMPLE RD, DEERFIELD BEACH, FL 33064-4443
(954) 781-0180
(954) 781-3230

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME43336
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370810100
FL
Enumeration date
02/24/2010
Last updated
03/04/2010
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