Individual
STEPHANIE TARANEH JAZAYRI-BILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
925 NE 30TH TER STE 308, HOMESTEAD, FL 33033-7614
(941) 926-6553
(941) 296-8501
Mailing address
4411 BEE RIDGE RD,, PMB 309, SARASOTA, FL 34233-2514
(941) 234-6388
(941) 926-8501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104819
FL
Other
Enumeration date
02/17/2009
Last updated
02/26/2021
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