Individual
MICHELLE FARAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(312) 229-0350
Mailing address
5153 4TH AVE N, SAINT PETERSBURG, FL 33710-7201
(847) 757-4169
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.006368
IL
Other
Enumeration date
11/27/2017
Last updated
12/19/2023
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