Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 72190 | GA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME128598 | FL |
NPI | 1114233962 |
---|---|
Provider Name | Dr. Farshad Anvari |
First Address | Orlando, FL 32804-4644 |
Second Address | Orlando, FL 32804-4644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2010 |
Last Update Date | 07/10/2020 |