Farida Kazvinova, | |
7765 S County Road 231, Lake Butler, FL 32054-5721 | |
(386) 496-6000 | |
Not Available |
Full Name | Farida Kazvinova |
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Gender | Female |
Speciality | General Practice |
Location | 7765 S County Road 231, Lake Butler, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013427954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME121109 (Florida) | Primary |
Entity Name | Florida Department Of Children And Families |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
Mailing Address | Practice Location Address |
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Farida Kazvinova, 100 N Main St, Chattahoochee, FL 32324-1107 Ph: (386) 496-6000 | Farida Kazvinova, 7765 S County Road 231, Lake Butler, FL 32054-5721 Ph: (386) 496-6000 |
Marie Josephine Garcon, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 386-496-6111 | |
Dr. Carl P. Eason, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 395 W Main St, Lake Butler, FL 32054 Phone: 386-496-3211 Fax: 386-496-1599 | |
Miss Nalini Anandjiwala, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 7765 County Rd 231, Lake Butler, FL 32054 Phone: 386-496-6134 | |
Dr. Marta Anisia Castillo, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 386-496-6121 Fax: 386-496-6083 |