Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301096920 | MI |
N | 2080P0201X | Pediatric Allergist | 35129059 | OH |
N | 2080P0201X | Pediatric Allergist | 4301096920 | MI |
Y | 2080P0201X | Pediatric Allergist | ME134206 | FL |
NPI | 1487966149 |
---|---|
Provider Name | Pamella Abghari |
First Address | Plantation, FL 33324-3923 |
Second Address | Parkland, FL 33073-3504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2010 |
Last Update Date | 23/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024028700 | (05) | FL |