Individual
ANNY DANESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S COURTENAY PKWY, MERRITT ISLAND, FL 32952-4831
(303) 617-2300
Mailing address
245 S COURTENAY PKWY, MERRITT ISLAND, FL 32952-4831
(321) 452-0020
(321) 453-4366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW12068
FL
Other
Enumeration date
10/13/2014
Last updated
10/15/2019
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