Organization
ROYA GHADIMI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYA GHADIMI MD (OWNER)
(239) 593-6120
Entity
Organization
Contact information
Practice address
1415 PANTHER LN, SUITE 322, NAPLES, FL 34109-7874
(239) 593-6120
Mailing address
1415 PANTHER LN, SUITE 322, NAPLES, FL 34109-7874
(239) 593-6120
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ME107176
FL
Other
Enumeration date
08/22/2011
Last updated
12/20/2011
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