Farida Kazvinova
General Practice Physician
7765 S County Road 231
Lake Butler
, Florida 32054-5721
Farida Kazvinova
General Practice Physician
7765 S County Road 231
Lake Butler
, Florida 32054-5721
(386) 496-6000
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Farida Kazvinova
- 100 N Main St
- Chattahoochee, FL
- Zip : 32324-1107
- Phone : (386) 496-6000
Second Address
- Farida Kazvinova
- 7765 S County Road 231
- Lake Butler, FL
- Zip : 32054-5721
- Phone : (386) 496-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | ME121109 | FL |
National Provider Identifier
| NPI | 1013427954 |
|---|---|
| Provider Name | Farida Kazvinova |
| First Address | Chattahoochee, FL 32324-1107 |
| Second Address | Lake Butler, FL 32054-5721 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2017 |
| Last Update Date | 27/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.