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Individual

NAFISA A TEJPAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D. P.A.

Contact information

Practice address
221 SHELL PT W, MAITLAND, FL 32751-5847
(407) 644-3622
(407) 644-1334
Mailing address
221 SHELL PT W, MAITLAND, FL 32751-5847
(407) 644-3622
(407) 644-1334

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME32524
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036883100
FL
Enumeration date
08/12/2006
Last updated
06/19/2017
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