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PERVEZ TIRAND IRANPUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 238-3226
(386) 238-3260
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME77463
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005794900
FL
01
1407823909
TRICARE
FL
01
35291
BCBS
FL
Enumeration date
03/02/2006
Last updated
02/22/2016
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