Individual
YAKZAN A AGHARAAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PROSTHETIC
Contact information
Practice address
11450 NW 46TH PL, SUNRISE, FL 33323-1023
(954) 415-0810
Mailing address
11450 NW 46TH PL, SUNRISE, FL 33323-1023
(954) 415-0810
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
RTP00970
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-2872140
—
FL
Enumeration date
06/24/2014
Last updated
06/24/2014
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