Organization
MAGNOLIA PLASTIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAHITA AZHARIAN DO (OWNER)
(813) 977-3400
Entity
Organization
Contact information
Practice address
2404 CREEL LN, WESLEY CHAPEL, FL 33544-4606
(813) 977-3400
(330) 773-3698
Mailing address
2404 CREEL LN, WESLEY CHAPEL, FL 33544-4606
(813) 977-3400
(330) 773-3698
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OS11384
FL
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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