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Farida Kazvinova
General Practice Physician in Lake Butler, Florida
NPI 1013427954

Farida Kazvinova is a General Practice Physician based in Chattahoochee, FL. Farida Kazvinova practices in Lake Butler, FL. The NPI Number for Farida Kazvinova is 1013427954 and holds a License No. ME121109 (Florida).

The current practice location address for Farida Kazvinova is 7765 S County Road 231, Lake Butler, FL and can be reached out via phone at 386-496-6000.

Location: 7765 S County Road 231, Lake Butler, FL, 32324-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013427954
Provider Name
Farida Kazvinova
Credential
Provider Entity Type
Individual
Gender
Female
Address
7765 S County Road 231, Lake Butler, FL, 32324-1107
Phone Number
386-496-6000
Fax Number
Provider Enumeration Date
10/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7765 S County Road 231
City
Lake Butler
State
Florida
Zip
32054-5721
Phone Number
386-496-6000
Fax Number
person
Provider Business Mailing Address Details
Address
7765 S County Road 231
City
Lake Butler
State
Florida
Zip
32054-5721
Phone Number
386-496-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME121109 (Florida)
Definition
Definition to come...
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