Organization
HEALTHFAIR PLUS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY EKBATANI (CHIEF ADMINISTRATIVE OFFICER)
(407) 620-7232
Entity
Organization
Contact information
Practice address
608 SW 8TH ST, 6TH FLOOR, BENTONVILLE, AR 72712-6207
(407) 672-0919
Mailing address
1030 SPRING VILLAS PT STE 3000, WINTER SPRINGS, FL 32708-6621
(407) 672-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
01/15/2016
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