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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | David Ira Minkoff | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | David | [sources] | |||
| Last name | Minkoff | [sources] | |||
| Middle name | Ira | [sources] | |||
| NPI | 1033228648 · 1558427344 · 1942319561 | [sources] | |||
| Registration number | 00G310960 · G 31096 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 301 Turner Street, Clearwater, FL, 33756 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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