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Organization

JFDOC P.L.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARZANNA SHERENE HAFFIZULLA M.D. (PHYSICIAN)
(954) 862-1778
Entity
Organization

Contact information

Practice address
12555 ORANGE DR, SUITE 257, DAVIE, FL 33330-4304
(954) 862-1778
(954) 862-1779
Mailing address
12555 ORANGE DR, SUITE 257, DAVIE, FL 33330-4304
(954) 862-1778
(954) 862-1779

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME86693
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275605321
NPI
FL
Enumeration date
08/25/2009
Last updated
08/25/2009
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