Organization
PFRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDEH RADFAR (DR)
(321) 779-9997
Entity
Organization
Contact information
Practice address
15 E HIBISCUS BLVD, MELBOURNE, FL 32901-3101
(321) 779-9997
Mailing address
PO BOX 373040, SATELLITE BEACH, FL 32937-1040
(321) 779-9997
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
04/19/2007
Last updated
07/21/2022
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