Individual
DR. NAIM FANAIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
PO BOX 919465, ORLANDO, FL 32891-0001
(407) 422-9831
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D73669
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME115580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055173200
—
MD
Enumeration date
01/10/2008
Last updated
07/23/2021
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