Individual
BABAK ALEX VAKILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2170 W STATE ROAD 434 STE 190, LONGWOOD, FL 32779-4976
(407) 990-1921
(407) 990-1921
Mailing address
2170 W STATE ROAD 434 STE 190, LONGWOOD, FL 32779-4976
(407) 990-1921
(407) 990-1921
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME84848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269132900
—
FL
Enumeration date
07/23/2006
Last updated
07/21/2022
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