Individual
MR. RASSOUL ABTAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4999 W 8TH AVE, #6, HIALEAH, FL 33012-3409
(305) 821-0100
(305) 821-0808
Mailing address
4999 W 8TH AVE, #6, HIALEAH, FL 33012-3409
(305) 821-0100
(305) 821-0808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT0004946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881213600
—
FL
Enumeration date
03/21/2008
Last updated
03/21/2008
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