Individual
AVINASH PERSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9750 NW 33RD ST STE 220, CORAL SPRINGS, FL 33065-4081
(954) 217-3220
(954) 217-6111
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3763
(954) 217-3220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS13196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015039000
—
FL
01
—
150EZ
FL BLUE
FL
Enumeration date
03/30/2015
Last updated
07/21/2022
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