Individual
AIMEE POONEH VAFAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(214) 676-1531
Mailing address
1317 EDGEWATER DR UNIT 495, ORLANDO, FL 32804-6350
(214) 676-1531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L9529
TX
208000000X
Pediatrics Physician
Primary
ME129495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166331203
—
TX
Enumeration date
07/21/2006
Last updated
10/13/2023
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