Organization
BOBBY GHANAVATI, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HABIBOLLAH GHANAVATI MD (OWNER)
(561) 703-1766
Entity
Organization
Contact information
Practice address
9970 CENTRAL PARK BLVD N STE 207, BOCA RATON, FL 33428
(561) 482-1027
Mailing address
9970 CENTRAL PARK BLVD N STE 207, BOCA RATON, FL 33428-2236
(561) 703-1766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME97136
FL
Other
Enumeration date
07/19/2009
Last updated
03/18/2019
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