Individual
IANI PATSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-7750
(954) 276-0280
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301100348
MI
207RC0000X
Cardiovascular Disease Physician
Primary
ME140650
FL
Other
Enumeration date
03/28/2012
Last updated
09/26/2019
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