Bobby Ghanavati, Md Pllc

NPI 1063642528 - Specialist - 174400000X

NPI Details
NPI 1063642528
Enumeration Date 07/19/2009
Last Updated 07/19/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name HABIBOLLAH HABIBOLLAH
Position OWNER
Phone (561) 703-1766
Fax
Practice Location
661 E ALTAMONTE DR
SUITE 316
ALTAMONTE SPRINGS FL, 32701-5105, US
Phone (561) 703-1766
Fax
Business Location
PO BOX 150545
ALTAMONTE SPRINGS FL, 32715-0545, US
Phone (561) 703-1766
Fax
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME97136
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According to our database, Bobby Ghanavati, Md Pllc NPI is 1063642528, taxonomy code is 174400000X and license number is ME97136, license state is located at Florida. Bobby Ghanavati, Md Pllc physically located at 661 E Altamonte Dr, Altamonte Springs FL, 32701-5105. NPI Number 1033115704 has the healthcare provider type.

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1063642528 NPI number is provided on an as is basis without warranty of any kind. 1063642528 is maintained by the National Plan & Provider Enumeration System. The contents of Bobby Ghanavati, Md Pllc are for informational purposes only.