Tavakkoli, Hassan
Tavakkoli, Hassan is an sole proprietor health care provider with primary practice located at 8051 W. Sunrise Blvd , Plantation FL 33322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tavakkoli, Hassan can be contacted via phone (954) 474-2900.Contact Information
Primary practice address
8051 W. Sunrise Blvd
Plantation FL 33322
Phone: (954) 474-2900
Fax: (954) 474-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | OS 6626 | Florida |
Profile Details
| NPI number | 1932380441 |
|---|---|
| LBN Legal business name | Tavakkoli, Hassan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Mar 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932380441 | NPPES |
| Florida | Other | 0853300 | AETNA |
| Florida | Other | 650505235 | AETNA |
| Florida | Other | 375397200 | AETNA |
| Florida | Other | 80799 | AETNA |
| Florida | Other | 235914 | AETNA |
| Florida | MEDICAID | 375397200 | AETNA |
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