Organization
NASSER EFTEKHARI MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER EFTEKHARI MD,PA (OWNER)
(305) 206-4726
Entity
Organization
Contact information
Practice address
6301 SW 112TH ST, MIAMI, FL 33156-4850
(305) 206-4726
Mailing address
6301 SW 112TH ST, MIAMI, FL 33156-4850
(305) 206-4726
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0050316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594466
—
FL
Enumeration date
06/25/2012
Last updated
06/25/2012
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