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Organization

PH1 MIAMI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOOTAN RASHIDIFARD (CEO)
(617) 645-1209
Entity
Organization

Contact information

Practice address
8585 SW 72ND ST STE 107, MIAMI, FL 33143-3746
(786) 373-7256
Mailing address
8585 SW 72ND ST STE 107, MIAMI, FL 33143-3746

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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