Individual
ANETA DADASHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2950 GRIFFIN RD, FORT LAUDERDALE, FL 33312-5648
(954) 924-6151
(954) 924-1540
Mailing address
2950 GRIFFIN RD, FORT LAUDERDALE, FL 33312-5648
(954) 924-6151
(954) 924-1540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104589
FL
363AS0400X
Surgical Physician Assistant
011476
NY
Other
Enumeration date
02/23/2007
Last updated
01/14/2022
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