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Individual

DR. BASHAR LUTFI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1725 N UNIVERSITY DR STE 425, CORAL SPRINGS, FL 33071-6000
(305) 259-0092
(786) 545-7627
Mailing address
9397 SATINLEAF PL, PARKLAND, FL 33076-3960
(954) 756-0615

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 79552
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258930300
FL
01
35396Y
MEDICARE PTAN
FL
Enumeration date
04/10/2007
Last updated
11/24/2021
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