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Organization
HEALTHFAIR PLUS SC PC
Active
Organization
HEALTHFAIR PLUS SC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY EKBATANI (CHIEF ADMIN OFFICER)
(407) 672-0919
Entity
Organization
Contact information
Practice address
110 TRADERS CROSS, 1ST FLOOR, BLUFFTON, SC 29909-4637
(407) 672-0919
Mailing address
1030 SPRING VILLAS PT STE 3000, WINTER SPRINGS, FL 32708-6621
(407) 672-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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