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Individual

DR. BIJAN J BAKHTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2780 CLEVELAND AVE, SUITE 819, FORT MYERS, FL 33901-5858
(239) 336-6800
(239) 336-6993
Mailing address
2780 CLEVELAND AVE, SUITE 819, FORT MYERS, FL 33901-5858
(239) 336-6800
(239) 336-6993

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME57192
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME57192
MEDICAL LICENSE
FL
Enumeration date
02/27/2006
Last updated
02/14/2008
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