Individual
SEPEEDEH ZAHRA KERMALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
1824 PIEDMONT PL, LAKE MARY, FL 32746-7609
(763) 587-5810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS18794
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/02/2019
Last updated
06/21/2022
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