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Individual

DR. AMIR AHMADIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
210 S MAIN ST, CRESTVIEW, FL 32536-3737
(850) 226-6801
Mailing address
210 S MAIN ST, CRESTVIEW, FL 32536-3737
(850) 226-6801

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
BP10057565
TX

Other

Enumeration date
06/03/2016
Last updated
08/13/2021
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