Individual
FATIMAH EBADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 16TH ST S, ST PETERSBURG, FL 33705-2231
(727) 327-7656
(727) 322-2110
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 322-2110
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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