Individual
DR. FARAZ PASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 2ND ST S, ST PETERSBURG, FL 33701-4491
(727) 851-9993
(727) 851-9992
Mailing address
120 2ND ST S, ST PETERSBURG, FL 33701-4491
(727) 851-9993
(727) 851-9992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
239727
MA
207Q00000X
Family Medicine Physician
Primary
ME107872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME107872
FLORIDA MEDICAL LICENSE
FL
Enumeration date
07/25/2007
Last updated
03/12/2015
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