Individual
OMID AZADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR.
Contact information
Practice address
1340 SW 82ND TER APT 516, PLANTATION, FL 33324-3200
(310) 704-6939
Mailing address
1340 SW 82ND TER APT 516, PLANTATION, FL 33324-3200
(310) 704-6939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11981
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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