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Organization

DR. RAHAT FADERANI, DO, MPH, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAHAT FADERANI DO (DOCTOR, OWNER)
(561) 543-8888
Entity
Organization

Contact information

Practice address
5913 S CONGRESS AVE, LAKE WORTH, FL 33462-1303
(561) 543-8888
(888) 663-8123
Mailing address
PO BOX 3821, LANTANA, FL 33465-3821
(561) 543-8888
(888) 663-8123

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
05/16/2012
Last updated
05/16/2012
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