# HEALTHFAIR PLUS SC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558819169
- **Authorized official:** RAY EKBATANI (CHIEF ADMIN OFFICER)
- **Authorized official phone:** (407) 672-0919

## Contact information

- **Practice address:** 110 TRADERS CROSS, 1ST FLOOR, BLUFFTON, SC 29909-4637
- **Practice address phone:** (407) 672-0919
- **Mailing address:** 1030 SPRING VILLAS PT STE 3000, WINTER SPRINGS, FL 32708-6621
- **Mailing address phone:** (407) 672-0919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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