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Organization
VEIN & AESTHETICS CENTER LLC
Active
Organization
VEIN & AESTHETICS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA GHARAI MD (MEDICAL DIRECTOR)
(813) 533-1999
Entity
Organization
Contact information
Practice address
14502 N DALE MABRY HWY STE 103, TAMPA, FL 33618-2076
(813) 533-1999
(813) 533-7151
Mailing address
14502 N DALE MABRY HWY STE 103, TAMPA, FL 33618-2076
(813) 533-1999
(813) 533-7151
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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