Icmd PA
NPI #1962091520 in Summerfield, Florida
Provider Information
- NPI Number
- 1962091520
- Entity Type
- Organization
- Organization Name
- Icmd PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 18, 2021
- Last Updated
- Jan 18, 2021
Practice Location
- Address
- 10770 SE 173RD ST
- City
- Summerfield
- State
- Florida
- ZIP Code
- 34491-6851
- Phone
- (352) 455-2026
Authorized Official
- Name
- DR. FARIBORZ DELBAKHSH, MD
- Title
- OWNER, PRESIDENT
- Phone
- (352) 455-2026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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