Individual
PARTA HATAMIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5364
(352) 273-9180
(352) 392-5465
Mailing address
PO BOX 100224, GAINESVILLE, FL 32610-0224
(352) 273-9180
(352) 392-5465
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME130286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019329000
—
FL
Enumeration date
04/30/2008
Last updated
09/13/2023
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