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Individual

DR. M RAHAT FADERANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O., M.P.H.

Contact information

Practice address
5913 S CONGRESS AVE, ATLANTIS, FL 33462-1303
(561) 965-4300
(561) 965-4399
Mailing address
5913 S CONGRESS AVE, ATLANTIS, FL 33462-1303
(561) 543-8888
(888) 663-8123

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS10474
FL

Other

Enumeration date
10/23/2008
Last updated
01/13/2012
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