Individual
PARDIS VAFAII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 SAN PABLO RD,, JACKSONVILLE, FL 32224-0001
(904) 953-2000
Mailing address
1006 MILANO CIR APT 105, BRANDON, FL 33511-7171
(954) 865-8886
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME 123388
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2011
Last updated
06/13/2016
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