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Organization

PEARL INSTITUTE PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SADAF BAZARGAN MD (OWNER)
(813) 454-4044
Entity
Organization

Contact information

Practice address
17551 N DALE MABRY HWY, LUTZ, FL 33548-4521
(813) 454-4044
(813) 265-3937
Mailing address
17551 N DALE MABRY HWY, LUTZ, FL 33548-4521
(813) 454-4044
(813) 265-3937

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME89013
FL

Other

Enumeration date
09/11/2007
Last updated
01/06/2016
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