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Dr. Behrouz Madani, MD
Specialist in Dade City, Florida
NPI 1477556272

Behrouz Madani is a Specialist based in Dade City, FL. Behrouz Madani practices in Dade City, FL and has the professional credentials of MD. The NPI Number for Behrouz Madani is 1477556272 and holds a License No. ME26731 (Florida).

The current practice location address for Behrouz Madani is 13540 17Th St, Dade City, FL and can be reached out via phone at 352-567-1411 and via fax at 352-567-6391.

Location: 13540 17Th St, Dade City, FL, 33526-1177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477556272
Provider Name
Behrouz Madani
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13540 17Th St, Dade City, FL, 33526-1177
Phone Number
352-567-1411
Fax Number
352-567-6391
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
279121800 05 FL
51076 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
13540 17Th St
City
Dade City
State
Florida
Zip
33525-5244
Phone Number
352-567-1411
Fax Number
352-567-6391
person
Provider Business Mailing Address Details
Address
13540 17Th St
City
Dade City
State
Florida
Zip
33525-5244
Phone Number
352-567-1411
Fax Number
352-567-6391
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME26731 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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