Individual
MORVARID FALLAHZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1673 MARKET ST, WESTON, FL 33326-3663
(954) 384-0266
Mailing address
13950 OAK RIDGE DR, DAVIE, FL 33325-3001
(954) 817-9646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4919
FL
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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