Provider Information for 1194494583
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PARINAZ FARD-AGHAIE RMHI - IMH
Sex: Female
NPI: 1194494583
Last Updated: 2024-09-12
Certification Date: 2024-09-12
Certification Date: 2024-09-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194494583 | ||||||||
| Enumeration Date | 2021-09-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 352 ENGLENOOK DR DEBARY, FL 32713-1803 United States Phone: 407-732-7266 | Fax: | ||||||||
| Primary Practice Address | 352 ENGLENOOK DR DEBARY, FL 32713-1803 United States Phone: 407-732-7266 | Fax: | ||||||||
| Secondary Practice Address(es) | 1208 JOHNS LANDING WAY APT 260 | ||||||||
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