Individual
FAYVEN TEKLEHAIMANOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(786) 334-5618
Mailing address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(786) 334-5618
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
UO9954
FL
Other
Enumeration date
06/19/2023
Last updated
06/17/2024
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