Individual
DR. ABDOLLAH NONE IRAVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2106 N. ORANGE AVE, SUITE 100, ORANGE, FL 32804
(407) 898-2811
(407) 898-6044
Mailing address
225 W SR 434, SUITE 201, LONGWOOD, FL 32750-4980
(407) 898-2811
(407) 898-6044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0031538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058637400
—
FL
Enumeration date
07/24/2006
Last updated
09/26/2014
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