Individual
FARIDA KAZVINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7765 S COUNTY ROAD 231, LAKE BUTLER, FL 32054-5721
(386) 496-6000
Mailing address
100 N MAIN ST, CHATTAHOOCHEE, FL 32324-1107
(386) 496-6000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME121109
FL
Other
Enumeration date
10/05/2017
Last updated
10/27/2020
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