Individual
MARYAM ELLEN DAVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3618 LANTANA RD STE 200, LANTANA, FL 33462-2247
(561) 272-0800
(561) 877-4895
Mailing address
703 NOBLE CREEK DR NW, ATLANTA, GA 30327-1097
(326) 615-5748
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME145853
FL
2084P0802X
Addiction Psychiatry Physician
ME145853
FL
Other
Enumeration date
05/27/2015
Last updated
03/09/2023
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