Individual
BITA ARDAKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8888 SW 136TH ST, #400, MIAMI, FL 33176-5883
(305) 446-2121
(305) 856-4363
Mailing address
2600 LAKE LUCIEN DR, SUITE 180, MAITLAND, FL 32751-7233
(407) 875-2080
(407) 875-0518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105382
FL
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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